急性心肌梗死内支架置放术的临床疗效评价

目的：评价急性心肌梗死病人支架置放的临床疗效。方法：1998－01～12，我院共对26例急性心肌梗死病人施行急诊冠状动脉内支架置放术，共置入内支架34个，成功率100％，既往心肌梗死病史的占37％，病人年龄34～65岁。其中多支病变17例，4例出现心源性休克。结果：内支架置放后梗死相关血管全部开通，狭窄从75％～100％降至0～25％，术后23例恢复导TIMI血流灌注3级，3例为2急，仅有1例术后仍有心绞痛，无1例死亡。结论：急诊冠状动脉内支架置放术能明显降低病人死亡率，并具有良好的远期效果。

The Clinical Curative Effect Assessment of Coronary Stent Implantation in Treatment of Acute Myocardial Infarction(AMI)

Aim:To evaluate the clinical results of intra - coronary stent implantation of AMI. Methods: Emergent intra coronary stent implantation was performed in 26 AMI cases from January to December 1998, 26 cases were implanted 34 coronary stents.37% patients had prior myocardial infarction . The patients' age ranged from 34 ~ 65 yearold. l9 cases were multiple vessel diseases, and 4 cardiogenic shock. Results: The infarct arteries were all opened after coronary stents were implanted,The stenosis rate was dropped from 75% ~ 100% to 0~ 25% .23 cases restored 3 flow and 3 restored 2 flow and others remained well. Conclusion: Emergent intracoronary stent implantation can significantly decrease mortality and has good long - term for AMI patients.