急性冠状动脉综合征39例

Diagnosis and treatment of 39 cases of acute coronary syndrome

目的探讨急性冠状动脉综合征的I临床诊治特点。方法选择太原市第二人民医院2008年6月至2011年6月收治的急性冠状动脉综合征患者39例，并对其冠状动脉造影结果以及药物治疗和介入治疗等相关临床资料进行回顾性总结和分析。结果本研究中发生院内死亡4例（10．26％），死者均为急性心肌梗死患者，且均未进行溶栓和（或）冠状动脉介入治疗等相关干预，其余35例患者均经治疗且病情好转后出院（89．74％）。结论只有对急性冠状动脉综合征保持高度警惕，不断提高自身对该病症的认识水平和能力，并积极采用切实有效的规范化治疗措施，才能为后续治疗奠定坚实的基础，并有效降低急性冠状动脉综合征的病死率和致残率。

Objective To investigate the clinical features of acute coronary syndrome. Meth- ods The coronary angiography, interventional and drug treatment clinical data of 39 patients with acute coronary syndrome from June 2008 to June 2011 in our hospital were retrospective analyzed. Results In our study, there were 4 cases （ 10.26% ） of hospital deaths. All of the dead patients were acute myocar- dial infarction, and were not given thrombolysis or percutaneous coronary intervention. Other 35 patients were treated and discharged from hospital after their condition improved （89.74%）. Conclusions Only by increasing the vigilance for acute coronary syndrome, improving the level of awareness and treatment ability for the disease, and actively using the effective standardized treatments, can we lay a solid founda- tion for the treatment, and reduce the mortality and morbidity of acute coronary syndrome effctively.