| 急性非ST段抬高心肌梗死患者临床特点及介入治疗原则 |
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| 引用本文： | 徐以康,张月兰.急性非ST段抬高心肌梗死患者临床特点及介入治疗原则[J].中国误诊学杂志,2011,11(5):1013-1016. |
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| 作者姓名： | 徐以康 张月兰 |
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| 作者单位： | 中国医科大学附属第一医院心内科,辽宁,沈阳,110001 |
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| 摘 要： | 目的分析急性非ST段抬高心肌梗死(NSTEMI)患者的临床特点及冠状动脉介入手术特征。方法 302例急性心肌梗死患者行经皮腔内冠状动脉介入治疗(PCI),NSTEMI患者42例,STEMI患者260例;对两组患者的临床资料及PCI特点进行回顾分析。结果 NSTEMI组女性、老年发生率明显高于STEMI组;NSTEMI组合并高血压、糖尿病、血脂异常症发生率明显高于STEMI组;NSTEMI组心肌损伤标记物水平明显低于STEMI组;NSTEMI组患者出院前左室射血分数(LVEF)≤55%发生率明显低于STEMI组;NSTEMI组多支病变高于STE-MI组;两组PCI即刻成功率、TIMI血流及死亡率无统计学差异。结论 NSTEMI老年人,女性发生率高,合并危险因素多,多支病变多见,两组PCI即刻成功率均高,未见严重不良反应,不良事件与STEMI患者相似。
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| 关 键 词： | 心肌梗死/病理学/治疗 血管成形术 经腔 经皮冠状动脉 |
The clinical characteristics and PCI principles in the people with NSTEMI |
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| XU Yi-kang,ZHANG Yue-lan.The clinical characteristics and PCI principles in the people with NSTEMI[J].Chinese Journal of Misdiagnostics,2011,11(5):1013-1016. |
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| Authors: | XU Yi-kang ZHANG Yue-lan |
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| Institution: | XU Yi-kang,ZHANG Yue-lan Department of Cardiology,The First Affiliated Hospital of Chinese Medical Sciences University,Shenyang 110001,China |
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| Abstract: | Objective To analyze the clinical characteristics and primary percutaneous coronary intervention(PCI)in the patients with non-ST segment elevation myocardial infarction(NSTEMI).Methods Three hundred and two patients with AMI under PCI treatment were divided into two groups:NSTEMI group and STEMI group.The clinical datas were collected and the characteristics of PCI were analyzed.Results The number of the elder and female patients in NSTEMI group was significantly higher than that in STEMI group;the number o... |
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| Keywords: | Myocardial Infarction/pathology/therapy Angioplasty Transluminal Percutaneous Coronary |
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