急诊PCI联合冠脉内溶栓对血栓高负荷病变的疗效观察被引量：2

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摘要目的观察急诊经皮冠状动脉介入(PCI)联合冠脉内溶栓对血栓高负荷病变的急性ST段抬高心肌梗死患者血管疗效.方法治疗组62例急性ST段抬高心肌梗死患者急诊PCI时进行球囊扩张,血流恢复后冠脉内注射尿激酶,1周后再行造影决定是否植入支架.选择同时期的急性患者61例急性ST段抬高心肌梗死患者急诊PCI时,直接植入支架作为对照组.比较两组植入支架数,术中并发症发生率、术后1年内心血管事件的发生率等.结果与对照组相比,治疗组术中并发症发生率低,植入支架数也较少,术后1年内心血管事件发生率低.结论急诊PCI联合冠脉内溶栓治疗血栓高负荷病变的心梗,可以减低慢血流及无复流的发生,减少不良心血管事件.

作者王彦方胡丰朝葛慧敏

机构地区安阳地区医院

出处《中国急救医学》 CAS CSCD 北大核心 2018年第A01期31-32,共2页 Chinese Journal of Critical Care Medicine

关键词急诊PCI 冠脉内溶栓血栓高负荷病变

分类号 R5 [医药卫生—内科学]

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