经皮冠状动脉腔内成形术在急性心肌梗死治疗中的应用

Application of percutaneous transluminal coronary angioplasy therapy in the aged with acute myocardial infarction

目的 观察经皮冠状动脉腔内成形术 (PTCA)在老年人急性心肌梗死治疗中的安全性和临床疗效。 方法 对 36例老年急性心肌梗死的患者行PTCA或PTCA加支架治疗。 结果 36例急性心肌梗死患者中 14例行直接PTCA ,5例补救PTCA ,17例择期PTCA。 36例手术成功 33例 ,术后TIMI血流均获 3级以上 ,失败 3例。有16例置入冠脉内支架 2 1枚 ,住院期间死亡 2例。 结论 PTCA是治疗老年人急性心肌梗死的安全有效的方法 ,可降低急性期死亡率。

Objective To investigate the clinical efficacy and safaty of percutaneous transluminal coronary angioplasy(PTCA)therapy in the aged with acute myocardial infarction(AMI). Methods PTCA or PTCA+stent implantation were performed in 36 elderly patients with AMI. Results Among 36 patients with AMI,14 were performed on direct PTCA,5 were performed rescare PTCA and 17 were selected PTCA.33 cases were success in operation and all of them were gained TIMI 3 flow.3 cases were failed.The 21 coronary stents were implanted in 16 patients.Two patients died in hospital. Conclusions PTCA is a safe and reliable therapy in the aged with AMI,and reduces mortality during acute period.