急性心肌梗塞急诊冠脉介入治疗的临床分析

Clinical analysis of effect of primary dermacutaneous coronary intervention on acute myocardidl infarction

目的探讨急性心肌梗塞（AMI）急诊经皮冠状动脉介入治疗（PCI）的治疗价值。方法对2004年5月～2006年9月AMI患者470例行急诊PCI治疗，在发病后平均（7.36±4、57）h内行急诊PCI。结果AMI急诊PCI成功率为98．87％，住院死亡率为4.68％。结论对于发病在12h内的AMI患者行急诊PCI，可开通梗塞相关动脉（IRA），改善心肌再灌注和近期预后。

Objective To assess the value of percutaneous coronary intervention （PCI） on patients with acute myocardial infarction （AMI）. Methods Four hundred and seventy AMI patients were treated with PCI from May 2004 to September 2006, including 363 males and 107 females with average age of 62.9 ± 21.6 years 7.36 ± 4.57 hours after the onset of the disease. Results The success rate of primary PCI in patients with AMI treated as 98.87% and the fatality rate was 4.68%. Conclusion The myocardial reperfusion and near prognosis of AMI patients can be improved 12 hours after onset of the disease.