急性心肌梗死患者急诊介入术中血栓抽吸的临床应用评价

目的:对急性心肌梗死(AMI)患者行直接经皮冠状动脉介入治疗中应用血栓抽吸术的疗效进行评价,探讨血栓抽吸术在急性心梗患者直接经皮冠状动脉介入治疗(PCI)中的应用价值。方法:收集吉林大学中日联谊医院心内科2007年3月～2010年3月收住的急性心肌梗死患者中急诊冠脉造影提示梗死相关动脉血流TIMI 0～1级、并行PCI治疗的36例患者的临床资料。对比分析应用抽吸技术的患者及对照组的临床及造影资料。结果:对于行血栓抽吸的直接PCI患者,其心肌灌注水平高于常规PCI治疗组,但其心功能相关指标未见明显差异。结论:直接PCI是急性心肌梗死心肌再灌注的重要方法,通过血栓抽吸可改善心肌再灌注水平。

Evaluation of thrombectomy during primary percutaneous coronary intervention in patients with acute myocardial infarction

Objective To evaluate the clinical effect of thrombetomy during primary percutaneous coronary intervention in patients with acute myocardial infarction.Method We collected a total of 37 patients with acute myocardial infarction,all of whom was confirmed to have a infarc-related artery with blood flow of TIMI 0-1 after the guidewire went through the lesion and unwent primary percutaneous coronary intervention from March 2010 to March 2012 in the Cardiology Department of Jilin University China-Japan union Hospital.18 cases underwent thrombetomy during primary percutaneous coronary intervention,while the other 18 patients were only treated with routine primary percutaneous coronary intervention.The atherothrombotic material,the degree of resolution of ST-segment 2h after PCI,LVED,EF were compared.All datas were analyzed with statistical software SPSS13.0.Measurement data(in this study were in line with the normal distribution) with the mean addition and subtraction in mean difference using tests,count data using χ2 test.Results 15 of 18 cases could obtain better blood flow after thrombectomy.The rate of patients with resolution of ST-segment 2h after PCI over 70% was different between the two groups while the rate of cases with resolution of ST-segment 2h after PCI over 50% showed no difference.The LVED,EF,in-hospital days and the major adverse cardiac events of the two group showed no difference.Conclusion The thrombetomy during primary percutaneous coronary intervention can improve the blood flow of the infarc-related artery.