| PTCA及血管支架治疗急性心肌梗死时机选择与心脏功能关系的研究 |
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| 引用本文： | 李元风,赵春玲,谢忠艳.PTCA及血管支架治疗急性心肌梗死时机选择与心脏功能关系的研究[J].黑龙江医学,1999(10):10-11. |
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| 作者姓名： | 李元风 赵春玲 谢忠艳 |
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| 作者单位： | [1]黑龙江省医院 [2]五常市中医院 [3]不详 |
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| 摘 要： | 目的：研究PTCA及血管支架安装治疗急性心肌梗死的时机选择与心脏功能关系。方法：本组78例，分为两组。A组为6h以内急诊，直接行PTCA血管支架安装的病人29例，男：女为23：6，平均年龄51．6±12．7岁。B组为49例，男：女为38：11，年龄52．3±11．5岁。急性期静脉溶栓（6h内）后于24～72h补救PTCA及血管支架安装的病人。结果：术后1周、4周做超声心动图检查，其左室射血分数（LVEF）情况A组VSB组：第1周0．52±0．07VS0．51±0．07（P＞0．05），第4周0.58±0.08VS0．52±0．06（P＜0．05）。结论：急性心肌梗死病人在发病6h内行PTCA及支架安装能及时地使血运重建，达到改善心脏功能的作用。
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| 关 键 词： | 经皮冠状动脉血管腔内成形术 血管支架安装 急性心肌梗死 左室射血分数 |
Study of Relation between the Choice of Right Moment and Heart Function to Treat AMI with PTCA and Stent |
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| Li Yuanfeng, zhao Cunling.Study of Relation between the Choice of Right Moment and Heart Function to Treat AMI with PTCA and Stent[J].Heilongjiang Medical Journal,1999(10):10-11. |
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| Authors: | Li Yuanfeng zhao Cunling |
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| Institution: | The Provincial Hospital of Heilongjiang |
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| Abstract: | Objective:To study relation between the choice of right moment and heart function to treat AMI with PTCA and stent. Methods:78 cases were divided into 2 groups A and B.29 cases (A group) were underwent PTCA or stent treatment within 6 hours onset (male:female 23:6,mean 51 .56 ± 12.7) .49 cases (B group) were underwent PTCA and stent treatment in 24~72 hours after thrombolytic treatment within 6 honset(male:female 38: 11,mean age 52. 3 ±11.5). Results:The LVEF were obtained with ecbocardiogram at 1 and 4 week post - operation. A vs. B:0.52 ±0.07vs.0.51 ± 0.07 at 1 weck, 0. 58 ± 0.08 vs.0.52 ± 0. 06 at 4 week. Conclusion: PTCA and stent treatment should perform in time so that to reestablish blood supply and improve heart function. |
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| Keywords: | PTCA AMI Stent Heart function LVEF |
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