急性心肌梗死溶栓再通择期PCI的临床研究

目的观察溶栓成功后择期PCI对STEMI预后的影响。方法68例STEMl患者接受静脉溶栓治疗再通，其中32例患者接受PCI术，36例未行PCI术者作为对照，比较随访期间两者主要心脏不良事件（MACE）的发生率及心功能改善情况。结果接受PCI治疗组MACE明显低于对照组，并且心功能明显优于对照组。结论静脉溶栓后择期PCI术可明显减少患者MACE发生，改善患者预后，提高患者生活质量。

Clinical research of thrombolytic recanalization of acute myocardial infarction by using elective PCI

Objective To observe the effect of elective PCI on the prognosis of STEMI after the success of intravenous thrombolysis. Methods 68 cases of patients were treated with thrombolytic recanalization, including 32 cases given PCI, and 36 cases without PCI was objected as control. The incidence of major adverse cardiac events （MACE） and cardiac function improvement were compared during the follow-up between the two groups. Results The incidence of MACE was significantly lower in the treatment group with PCI, than that in the control group, and the cardiac function improvement was obviously better than that in the control group. Conclusion The thrombolytic recanalization by using elective PCI can reduce the incidence of MACE, improve the prognosis of patients with STEMI, and increase the quality of patients＇ life.