经皮冠状动脉腔内成形术在糖尿病合并心肌梗塞治疗中的应用

PTCA in Disbetic Patients with Myocardial Infarction

对35例糖尿病合并心肌梗塞病人进行冠状动脉造影，对其中30例作了经皮冠状动脉腔内成形术（PTCA），结果显示，冠状动脉血管三支病变15例，二支病变9例，单支病变11例，共80支血管，100个血管段有病变，病变呈弥漫性、长段不规则改变占41．2％。30例PTCA共41支血管，术前狭窄平均94．9±7．18％，术后残余狭窄平均12．6±11．8％，完全性血管运重建40％，部分性血管运重建53．3％，其中13支血管置入了支架，30例中3例术后死于急性全心衰和心源性休克。

35 diabetic patients suspected to suffer from myocardial infarction undergoing coronary angiography. 15 cases 3-vessel disease, 9 cases 2-vessel disease, 11 cases singlevessel disease. In total 80 ves-sels and 100 lesions were demonstrated resPectively, and 41.2% lesions were diffuse, long and irregu-lar. Percutanous Transiuminal Coranary Angioplasty (PTCA) was performed in 3O cases with 41 involved vessels. The average degree of original vessel stenosis was 94. 9±7. 18%,the residual stenosis after PTCA 12.6±11. 8 % . 40% the ischemiarelated vessels were completely revascularized, 53. 3 % incompletely. In 13 patients cortis stents were implanted. Among the 30 cases undergoing PTCA. 3 died of acute left heart failure and cardiogenic shock.