冠脉内支架在急性心肌梗塞急性期中的应用

Clinical Evaluation of Intracoronary Stenting in Treatment of Acute Myocardial Infarction

对２０例急性心肌梗塞（ＡＭＩ）患者于急性期行急诊经皮冠脉腔内形成术（ＰＴＣＡ）加冠脉内支架植入术，造影显示梗塞相关动脉（ＩＲＡ）２８支。在２１支ＩＲＡ中植入２３个支架，支架植入成功率为１００％。植入支架后，ＴＩＭＩ均达Ⅱ级以上。术后随访６～１８个月，１例发生再梗，再狭窄率为１４．３％。提示冠脉内支架植入术是治疗ＡＭＩ的较好治疗方法。

HBV DNA in serum,cord blood and milk of 78 HBsAg positive pregnant women(experimental group)and 43 HBsAg negtive pregnant women(control group)was tested by polymerase chain reaetion(PCR),while the marking products of hepatitis B virus(HBV)in serum were also detected by ELISA The correlative analysis in conjunction with infectic state of pregnant women showed that the present rate of HBV DNA positive serum,cord blood and milk of experimental group was 51 3%,29 5% and 39 7% respectively and none in control group There was a significant difference in the two groups(P<0 001) The result suggested that there was a relationship between the infectic state and HBV DNA positive rate in pregnant women and vertical transmission