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直接经皮冠状动脉介入治疗高龄急性ST段抬高性心肌梗死55例疗效分析 被引量:8

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摘要 目的观察高龄急性ST段抬高性心肌梗死(STEMI)患者急诊直接经皮冠状动脉介入(PCI)治疗的安全性和疗效。方法选择2002年1月至2010年1月年龄大于60岁行急诊直接PCI治疗的STEMI患者55例,其中年龄大于75岁25例,为高龄组;年龄小于75岁30例,为对照组。两组患者均进行急诊直接PCI治疗,观察其病变特征及术中、术后并发症和心脏病事件的发生情况。结果高龄组和对照组在性别、高脂血症、糖尿病史、高血压病史、STEMI部位等方面比较,差异均无统计学意义(P〉0.05)。两组急诊冠状动脉造影成功率均为100%,两组患者梗死相关动脉依次为前降支、右冠状动脉、回旋支,其分布比较,差异无统计学意义(P〉0.05);但高龄组多支冠脉病变发生率高于对照组(分别为88%、70%)。高龄组发病至球囊扩张时间为(6.3±2.9)h,对照组为(6.9±3.3)h。高龄组介入治疗成功率为88.0%,对照组为96.7%。高龄组PCI治疗后发生腹股沟血肿2例(8%),腹膜后血肿1例(4%);对照组未发生血管并发症,但两组比较,差异无统计学意义(P〉0.05)。两组患者在住院期间心脏病事件发生率比较,差异无统计学意义(P〉0.05)。结论急诊直接PCI治疗对于高龄STEMI患者是安全有效的。
出处 《重庆医学》 CAS CSCD 北大核心 2010年第16期2209-2211,共3页 Chongqing medicine
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