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急性心肌梗死急诊经皮冠状动脉介入治疗的近期疗效观察
引用本文:张志,陶责周,李今朝,徐兆龙. 急性心肌梗死急诊经皮冠状动脉介入治疗的近期疗效观察[J]. 中国心血管病研究杂志, 2008, 6(6): 428-430
作者姓名:张志  陶责周  李今朝  徐兆龙
作者单位:辽宁医学院附属第一医院心内科;121001锦州市;
摘    要:目的评价急诊经皮冠状动脉介入(PCI)治疗急性ST段抬高型心肌梗死(STEMI)的近期疗效。方法109例STEMI患者行急诊PCI治疗(PCI组),并与178例同期接受尿激酶静脉溶栓的STEMI患者(UK组)进行住院期间疗效比较。结果与同期溶栓治疗相比,急诊PCI胸痛缓解迅速,120min ST段回落明显,再灌注成功率高(P〈0.01);住院期间梗死后心绞痛(P〈0.01)、再梗死及死亡率明显降低(P〈0.05);严重并发症发生率无明显增加。结论急诊PCI是急性心肌梗死(AMI)安全有效的治疗方法,并可进一步降低死亡率。

关 键 词:心肌梗死  血管形成术  经腔  经皮冠状动脉  尿纤溶酶原激活物
文章编号:1672-5301(2008)06-0428-03
修稿时间:2008-01-07

In-hospital effect of emergency percutaneous coronary intervention on patients with acute myocardial infarction
ZHANG Zhi,TAO Gui-zhou,LI Jin-zhao,et al.. In-hospital effect of emergency percutaneous coronary intervention on patients with acute myocardial infarction[J]. Chinese Journal of Cardiovascular Review, 2008, 6(6): 428-430
Authors:ZHANG Zhi  TAO Gui-zhou  LI Jin-zhao  et al.
Affiliation:ZHANG Zhi,TAO Gui-zhou,LI Jin-zhao,et al. Department of Cardiology,the First Affiliated Hospital of Liaoning Medical College,Jinzhou 121001,China
Abstract:Objective To evaluate the effect of emergency percutaneous coronary intervention(PCI) on patients with acute ST segment elevated myocardial infarction(STEMI). Methods 109 cases of STEMI underwent emergency PCI(PCI group) and 178 cases underwent thrombolytic therapy with urokinase (UK group) were enrolled, In-hospital effects were compared between the two groups. Results Compared with UK group,the chest pain relief,120 min ST segment reduction and achievement ratio of reperfusion were more significant in PCI...
Keywords:Myocardial infarction  Angioplasty  transluminal  percutaneous coronary  Urinary plasminogen activator  
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