冠脉急诊PCI术与溶栓治疗对老年急性心肌梗死患者的临床疗效观察被引量：2

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摘要目的:研究急诊冠状动脉介入治疗(PCI)与静脉溶栓治疗对老年急性心肌梗死患者的近期疗效观察.方法:78例≥60岁的ST段抬高的急性心肌梗死患者,43例接受急诊PCI治疗.35例接受静脉溶栓治疗.比较两种治疗方法对患者的临床近期效果.结果:溶栓组梗死相关血管(IRA)再通率为68.5%,直接PcI组IRA再通率为97.6%;6个月时左室射血分数(LVEF)溶栓组为(40.5±5.8)%.直接PCI组为(51.6±6.5)%.出血并发症、住院期间病死率、再发心绞痛和主要心脏事件发生率,溶栓组明显高于直接PcI组.溶栓组平均住院时间为9.5d,PCI组平均住院时间为21.5d.结论:对老年AMI患者,急诊PCI治疗更能尽快、及时有效地开通梗死相关动脉,挽救濒死心肌,改善左室功能,降低病死率.

作者王建军

机构地区赤峰学院附属医院

出处《赤峰学院学报（自然科学版）》 2013年第6期118-119,共2页 Journal of Chifeng University(Natural Science Edition)

关键词老年急性心肌梗死经皮冠状动脉腔内成形术静脉溶栓

分类号 R542.22 [医药卫生—心血管疾病]

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