| 冠状动脉血栓抽吸联合经皮冠状动脉介入术治疗急性心肌梗死合并冠状动脉血栓疗效观察 |
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| 引用本文： | 张庆成,汪承炜,张向峰,潘桂华. 冠状动脉血栓抽吸联合经皮冠状动脉介入术治疗急性心肌梗死合并冠状动脉血栓疗效观察[J]. 实用诊断与治疗杂志, 2011, 25(1) |
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| 作者姓名： | 张庆成 汪承炜 张向峰 潘桂华 |
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| 作者单位： | 武警上海总队医院心血管内科,上海市,201103 |
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| 摘 要： | 目的:探讨冠状动脉血栓抽吸术联合经皮冠状动脉介入术治疗急性心肌梗死合并冠状动脉血栓的疗效。方法:79例急性心肌梗死合并冠状动脉血栓患者,其中38例行急诊冠状动脉血栓抽吸术联合经皮冠状动脉介入术(治疗组),41例行择期经皮冠状动脉介入术(对照组)。比较2组急性期、术后1 a心脏事件发生率,病死率。结果:治疗组与对照组急性期心脏事件发生率分别为21.1%和34.1%,病死率分别为5.3%和9.7%,2组比较差异有统计学意义(P<0.01)。术后1 a治疗组与对照组心脏事件发生率分别为8.6%和13.9%,病死率分别为2.8%和5.5%,2组比较差异有统计学意义(P<0.01)。结论:急诊行冠状动脉血栓抽吸术联合经皮冠状动脉介入术治疗急性心肌梗死合并冠状动脉血栓安全、有效,对心功能的恢复,减少心脏事件和并发症的发生有重要意义。
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| 关 键 词： | 心肌梗死 血栓 血管成形术 支架 |
Direct coronary thrombus suction combined with stent implantation for acute myocardial infarction complicated with coronary artery thrombus |
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| ZHANG Qing-cheng,WANG Cheng-wei,ZHANG Xiang-feng,PAN Gui-hua. Direct coronary thrombus suction combined with stent implantation for acute myocardial infarction complicated with coronary artery thrombus[J]. Journal of Practical Diagnosis and Therapy, 2011, 25(1) |
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| Authors: | ZHANG Qing-cheng WANG Cheng-wei ZHANG Xiang-feng PAN Gui-hua |
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| Affiliation: | ZHANG Qing-cheng,WANG Cheng-wei,ZHANG Xiang-feng,PAN Gui-huaDepartment of Cardiology,Shanghai Municipal Corps Hospital,Chinese People's Armed Police Forces,Shanghai 201103,China |
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| Abstract: | Objective To approach the clinical significance of direct coronary thrombus suction combined with stent implantation for acute myocardial infarction complicated with coronary artery thrombus.Methods A total of 79 cases of acute myocardial infarction with artery thrombus received interventional therapy,in which 38 cases(therapy group) received direct coronary thrombus suction combined stent implantation,and 41 cases(control group) received selective percutaneous coronary intervention.Results During acute pha... |
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| Keywords: | Myocardial infarction thrombus angioplasty stents |
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