急性冠状动脉综合征25例急诊介入治疗结果分析

目的分析过去6个月期间开展急诊经皮冠状动脉介入治疗急性冠状动脉综合征患者的结果。方法2006年1月至2006年6月20日对25例急性冠状动脉综合征患者经桡动脉或股动脉施行急诊PCI术。结果直接PCI手术操作成功率100％。术中无一例发生无复流现象，无支架内亚急性血栓形成。其中住院死亡0例，死亡率0％。所有患者的临床缺血症状均迅速改善。结论直接PCI能迅速使梗塞相关动脉开通并恢复正常血流，使高危患者存活率升高，住院时间缩短．对于改善UA患者的缺血症状非常有效，再缺血、再梗死和再闭塞发生率低。

Analysis of 25 cases with acute coronary syndrome (ACS)underwent emergency percutaneous coronary intervention

Objective To present immediate and follow-up results of 25 patients with acute coronary syndrome(ACS)underwent emergency percutaneous coronary intervention(PCI)during the last 6 months.Methods 25 patients with ACS underwent emergency PCI.Results A successful primary PCI procedure was achieved in 100% patients with incidence of no-reflow in 0%.Stent thrombosis occurred in 0 patients.In-hospital mortality is 0%.All patients' ischemic symptoms relieved.Conclusion Primary PCI expanded the indication for treatment of STEMI patients with establishment of patent IRAand normal blood flow,increased the survival lfhigh-riskpatients,and shortenedthe hospital stay.Emergency PCI is very effective in reliefofischemic sympotoms of UA patients with lowerincidence of recurrence of ischemia,reinfarction and reocclusion.