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非ST段抬高型心肌梗死急诊介入治疗的随访研究
引用本文:王勇,池菊芳,李宪伦,曾玉杰,刘晓飞,郑金刚,彭文华,高焱莎,柯元南.非ST段抬高型心肌梗死急诊介入治疗的随访研究[J].中日友好医院学报,2006,20(5):261-263.
作者姓名:王勇  池菊芳  李宪伦  曾玉杰  刘晓飞  郑金刚  彭文华  高焱莎  柯元南
作者单位:中日友好医院心内科,北京,100029
摘    要:目的:总结非ST段抬高性心肌梗死(NSTEMI)患者行急诊介入治疗(PCI)的临床疗效及随访结果.方法:2000年2月~2005年2月间,共收治142例NSTEMI患者,年龄36~82岁;其中6例行外科搭桥(CABG)治疗,136例行急诊PCI;发病到急诊PCI时间为1.5~11h.结果:136例行PCI者,131例成功,成功率96.3%.共治疗133处病变,置入支架177枚,4例患者仅行球囊扩张术.2例死亡,1例死于心源性休克,1例死于颅内出血.2例术后1周内支架内亚急性血栓形成.住院期间无其他严重心血管事件发生.129例患者门诊随访12个月,无不良心血管事件发生,86例PCI患者术后6~12个月行冠脉造影检查,再狭窄10例,8例金属裸支架者(16%)、2例药物洗脱支架者(5.6%).结论:非ST段抬高型心肌梗死急诊介入治疗安全有效,能明显改善临床症状.药物洗脱支架可降低再狭窄发生率.

关 键 词:急性心肌梗死  非ST段抬高型  急诊冠脉介入治疗
文章编号:1001-0025(2006)05-0261-03
收稿时间:02 28 2006 12:00AM
修稿时间:04 18 2006 12:00AM

Clinical follow-up study of emergent percutaneous coronary intervention in acute non-ST-elevation myocardial infarction
WANG Yong,CHI Ju-fang,LI Xianlun,et al.Clinical follow-up study of emergent percutaneous coronary intervention in acute non-ST-elevation myocardial infarction[J].Journal of China-Japan Friendship Hospital,2006,20(5):261-263.
Authors:WANG Yong  CHI Ju-fang  LI Xianlun  
Institution:Department of Cardiology,China-Japan Friendship Hospital,Beijing,100029,China
Abstract:Objective:To summarize the clinical effects and follow-up results of emergent percutaneous coronary intervention(PCI) in acute non-ST-elevation myocardial infarction(NSTEMI).Methods:During Feb 2000 to Feb 2005,One hundred and forty two NSTEMI patients were admitted,whose age ranged from 36 to 82 years.Six patients selected CABG because of left main coronary lesion or severe triple-vessel lesion.One hundred and thirty six patients received emergent PCI.Onset-to-PCI time was from 1.5 to 11 hours.Results:One hundred and thirty one patients were successfully treated by PCI,with a procedure success rate of 96.3%.One hundred and thirty three lesions were treated and 177 stents were implanted.Four patients employed balloon dilation only.Two patients died,in which 1 patient died of cardiogenic shock and 1 patient died of intracranial hemorrhage.Two cases occurred in-stant sub-acute thrombosis within one week after operation.No other serious cardiovascular events happened in the period of in-hospital and the follow-up after operation in 129 patients.Eighty six patients undergoing stenting received coronary angiography(CAG)6-12 months postoperatively.In-stent restenosis happened in 10 patients,including 8 bare-metal stents patients(16%)and 2 drug-eluting stents(DES)patients(5.6%).Conclusion:Emergrent PCI of acute non-ST-elevation myocardial infarction was safety and efficacy,which could improve the clinical symptom remarkably.DES are able to decrease restenosis rate.
Keywords:acute non-ST-elevation myocardial infarction  emergent percutaneous coronary intervention
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