首页 | 本学科首页   官方微博 | 高级检索  
     

欣维宁在急诊经皮冠状动脉介入治疗急性心肌梗死中的应用探讨
引用本文:苏振琪,袁争百,韩宏华,陈大顺. 欣维宁在急诊经皮冠状动脉介入治疗急性心肌梗死中的应用探讨[J]. 当代医学, 2010, 16(5): 97-98
作者姓名:苏振琪  袁争百  韩宏华  陈大顺
作者单位:安徽235000,安徽淮北矿工总医院集团心内科;安徽235000,安徽淮北矿工总医院集团心内科;安徽235000,安徽淮北矿工总医院集团心内科;安徽235000,安徽淮北矿工总医院集团心内科
摘    要:
目的研究国产替罗非班(欣维宁)对急性心肌梗死病人行急诊经皮冠状动脉介入治疗的疗效及安全性。方法入选2004~2008年急性心肌梗死病人41例并同意行急诊PCI术,其中20例为对照组:常规术前口服阿斯匹林300mg、氯吡格雷300mg,术中、术后使用肝素。21例为欣维宁组:除常规用药同对照组外,术前、术中及术后使用欣维宁(国产替罗非班),分析罪犯血管(IRA)再通情况、出血及急性、亚急性血栓事件和对血小板的影响。结果欣维宁组手术成功率99.8%,IRATIMI3级占90.48%出血率23.9%,为渗血、小血肿,无严重后果。未发生急性、亚急性血栓事件。对照组:手术成功率90%,IRA开通后TIMI3级血流占75%,出血率5%,急性、亚急性血栓形成占据15%。讨论急性心肌梗死病人行急诊经皮冠脉介入治疗术中使用欣维宁是安全有效的,提高IRA再通率,缺血、损伤心肌灌注改善显著。

关 键 词:替罗非班  急性心肌梗死  急诊经皮冠脉介入治疗

Effect of tirofiban in STEMI patients undergoing emergency percutaneous coronary intervention
SU Zhen-qi,YUAN Zheng-bai,HAN Hong-hua,CHEN Da-shun. Effect of tirofiban in STEMI patients undergoing emergency percutaneous coronary intervention[J]. Contemporary Medicine, 2010, 16(5): 97-98
Authors:SU Zhen-qi  YUAN Zheng-bai  HAN Hong-hua  CHEN Da-shun
Affiliation:SU Zhen-qi,YUAN Zheng-bai,HAN Hong-hua,CHEN Da-shun,Department of cardiology Huai Bei Mine's General hospital AnHui Huai Bei,235000 China
Abstract:
Objective To investigate the clinical outcomes and safety of tirofiban in STEMI patiens undergoing emergency percutaneous coronary intervention(PCI).Methods A total of 41 patients who underwent primary PCI.between January 2004 to January 2008 were divided two groups;the tirfiban treatment group(n=21)and the control group(n=20).TIMI grade,the rate of bleeding,transfusion,the count of thrombocyte,thrombosis were compared.Results There was difference between the two groups in percentage of TIMI3 flow achieved ...
Keywords:tirofiben  acute myocardical infarction  primary percutaneous coronary intervention  
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号