直接冠状动脉内支架置入治疗急性心肌梗塞31例临床报告 |
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引用本文: | 黄伟剑,张怀勤,林捷,计光,李海鹰,杨鹏麟,唐疾飞.直接冠状动脉内支架置入治疗急性心肌梗塞31例临床报告[J].浙江临床医学,2001,3(1):13-14. |
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作者姓名: | 黄伟剑 张怀勤 林捷 计光 李海鹰 杨鹏麟 唐疾飞 |
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作者单位: | 1. 325000温州医学院附属一院 2. 温州医学院附属二院 |
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摘 要: | 目的 探讨直接冠状动脉内支架治疗急性心肌梗塞的疗效和安全性。方法 对31例急性心肌梗塞(AMI)行直接冠状动脉内支架置入病例进行分析。其中男24例,女7例,平均年龄为64.9岁。结果 31例患术前梗塞相关血管均为TIMI0级血流,经置入冠脉内支架后梗塞相关血管均恢复TIMI Ⅲ级,残余狭窄为5%-10%,血管开通率为100%。9例年龄超过70岁患无一死亡,并且没发生严重的并发症;6例心源性休克除1例心源性休克不可逆转而发生电机械分离抢救无效死亡外,其余5例顺利恢复。30例患在1-21月随访中均未发生死亡,无心脏事件发生。结论 冠脉内支架置入是治疗急性心肌梗塞安全有效的方法,能明显降低高危患的死亡率。
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关 键 词: | 急性心肌梗塞 血管成形术 支架 治疗 |
31 Cases of primary
Intracoronary Stenting in Acute Myocardial Infarction |
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Abstract: | Objective To evaluate the efficacyand safety of primary intracoronary stenting in acute myocardial infarction(AMI).Methods 31 AMI patients(24 males and 7 females, mean age 64.9 years) who underwent primary intracoronary stenting were analyzed. Results After operation, all 31 patients' blood flow wer successfully restored from TIMI 0 grade to TIMI 3 grade. Residual stenosis decreased to 5%~10% . No death occurred amgong the 9 patients whose age was over 70. Among the 6patients with cardiogenic shock, only one patient had irreversible heart failure and died. During the 1~21 monhts follow-up period of the other 30 patients, no death or heart event happened. Conclusion Primary intracornary stenting was an efficient therapeutic procedure to AMI patients, especially to those with high risks. |
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Keywords: | AMI PTCA stent |
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