基层医院开展急诊经皮冠状动脉支架植入术治疗急性心肌梗死的可行性研究

Emergent Percutaneous Transluminal Coronary Angioplasty in 41 Patients with Acute Myocardial Infarction in Elementary Hospital

目的:探讨基层医院开展急诊经皮冠状动脉支架植入术(PCI)治疗急性心肌梗死(AMI)的可行性、安全性。方法:回顾分析2002年11月～2009年4月我院41例AMI患者的急诊PCI资料。结果:41例AMI患者,急诊开通梗死相关动脉(IRA)39例(即时成功率95.1%),开通IRA者中术后死亡2例(死亡率4.9%),总成功率90.2%。结论:在有条件的基层医院开展急诊PCI安全有效。

Objective：To explore the feasibility and safety of primary percutaneous coronary intervention in patients with acute myocardial infarction in elementary hospital.Methods：The clinical data of 41 AMI patients who underwent emergent PCI from November 2002 to April 2009 were retrospectively analyzed.Results：Among the 41 AMI patients referred to PCI,infarct-related arteries were recanalized in 39 cases.The immediate success rate was 95.1%.2 cases of them died.The total success rate was 90.2%.Conclusion：Emergent PCI is safe and effective in the hospitals which could carry out PCI.