| AMI病人冠状动脉内支架安置术的无复流现象分析 |
| |
| 引用本文： | 滕军,宋玲,尹作民. AMI病人冠状动脉内支架安置术的无复流现象分析[J]. 齐鲁医学杂志, 2005, 20(4): 303-305 |
| |
| 作者姓名： | 滕军 宋玲 尹作民 |
| |
| 作者单位： | 1. 青岛大学医学院第二附属医院急救中心内科,山东,青岛,266042
2. 青岛市市立医院内科 |
| |
| 摘 要： | ①目的 了解冠状动脉内支架安置术治疗急性心肌梗死（AMI）的效果并对无复流现象发生机制进行探讨。②方法 采用急诊冠状动脉内支架安置术治疗AMI病人170例，观察梗死相关血管开通成功率、TIMI Ⅲ级血流及无复流现象的发生率、出院时左心室功能、住院病死率。③结果 急诊支架安置术梗死相关血管开通成功率为98.8％，TIMI Ⅲ级血流150例（88.2％），发生无复流现象20例（11.8％）。出院时左心室射血分数（LVEF）平均58％，住院死亡7例，住院病死率4.1％。④结论 冠状动脉内支架安置术治疗AMI，梗死相关血管开通成功率较高，但仍有少数病人会出现无复流现象。
|
| 关 键 词： | 心肌梗死 血管成形术 经腔 经皮冠状动脉 支架 无复流 |
| 文章编号： | 1008-0341(2005)04-0303-03 |
| 收稿时间： | 2005-06-23 |
| 修稿时间： | 2005-07-29 |
AN ANALYSIS OF THE NO-REFLOW PHENOMENON OF CORONARY STENTING IN ACUTE MYOCARDIAL INFARCTION |
| |
| TENG Jun,SONG Ling,YIN Zuo-min. AN ANALYSIS OF THE NO-REFLOW PHENOMENON OF CORONARY STENTING IN ACUTE MYOCARDIAL INFARCTION[J]. Medical Journal of Qilu, 2005, 20(4): 303-305 |
| |
| Authors: | TENG Jun SONG Ling YIN Zuo-min |
| |
| Abstract: | Objective To analyze the therapeutic effects and no-reflow phenomenon of coronary stenting for acute myocardial infarction (AMI). Methods AMI patients, 170 cases, who had undergone emergency coronary stenting were investigated for the following items: the success rate of reperfusion in infarction-involved vessels,Grade 3 flow of TIMI,the left ventricular function (LVEF) on discharge and hospital mortality. Results The success rate of reperfusion in infarction-involved vessels was 98.8%; 88.2% patients had Grade 3 flow of TIMI,the average LVEF was 58%,and hospital mortality was 4.1%. Conclusion (Coronary stent) installation in AMI can improve the success of reperfusion in infarction-involved vessels. No-reflow phenomenon appears in some patients. |
| |
| Keywords: | myocardial infarctiom angioplasty, transluminal, percutaneous coronary stents no-fellow |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
