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397例急性冠状动脉综合征急诊介入治疗的即刻和随访结果 被引量：6

Emergency Percutaneous Coronary Intervention in 397 Patients With Acute Coronary Syndrome: Immediate and Follow-up Results
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摘要 目的:分析过去59个月期间开展急诊经皮冠状动脉介入治疗(PCI)的397例急性冠状动脉综合征(ACS)患者的即刻和随访结果.方法:1999年3月～2004年1月对397例ACS患者经股动脉或桡动脉施行急诊PCI.310例ST段抬高性心肌梗死(STEMI)患者施行直接PCI治疗,补救PCI治疗7例STEMI,急诊PCI治疗80例不稳定型心绞痛或非ST段抬高性心肌梗死(UA/NSTE-MI).结果:直接PCI手术操作成功率99%,术中无复流发生率10.6%.42例(13.5%)应用了主动脉气囊反搏术,10例应用了远端保护装置.8例发生支架内急性/亚急性或后期支架内血栓形成,住院死亡17/310例(5.5%),6个月死亡17/250例(死亡率6.8%).补救性PCI术后6例患者的严重心肌缺血和(或)急性肺水肿的症状得到明显改善,1例合并心源性休克的多支血管病变患者术后1小时死亡.UA/NSTEMI的介入操作成功率96.3%,所有患者的临床缺血症状迅速改善.一例发生支架内亚急性血栓形成.结论:直接PCI扩大了治疗STEMI的适应证,迅速使梗死相关动脉开通并恢复正常血流,在高危患者存活率高,住院时间缩短.补救性PCI是静脉溶栓治疗失败后的一种有效补救措施,但是同样具有较高风险.急诊PCI对于改善UA/NTEMI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.
作者 颜红兵 柯元南 曾玉杰 李宪伦 高焱莎 王勇 张国强 柴枝楠
出处 《中国循环杂志》 CSCD 北大核心 2004年第z1期1-4,共4页 Chinese Circulation Journal
关键词 急性冠状动脉综合征 冠状动脉介入治疗 随访
分类号 R543.3 [医药卫生—心血管疾病]
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参考文献7

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  • 6颜红兵 柯元南.急性心肌梗死直接冠状动脉介入治疗中的无复流现象研究[J].中华心血管病杂志,2003,31:21-23.
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二级参考文献33

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中国循环杂志
2004年 第z1期

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