经皮冠状动脉介入术后合并消化道出血的原因分析

Causes analysis of percutaneous coronary intervention postoperation combined with digestive tract hemorrhage

目的:探讨冠心病患者经皮冠状动脉介入术(PCI)后消化道出血的原因。方法:收治PCI治疗冠心病患者2 432例,分析其中22例消化道出血患者出血的原因。结果:女性患者发生率明显高于男性患者(P<0.05)。性别、糖尿病史、消化道溃疡病史、入院诊断为急性冠脉综合征(ACS)以及GPⅡb/Ⅲa受体拮抗剂均属于术后出血的危险因素,与年龄没有相关性。结论:使用GPⅡb/Ⅲa药物、性别、入院诊断ACS、糖尿病溃疡病史均为PCI治疗术后出现消化道出血的独立危险因素,应引起临床关注。

Objective:To explore the causes of percutaneous coronary intervention (PCI) postoperation digestive tract hemorrhageof patients with coronary heart disease.Methods:2 432 cases of coronary heart disease patients with PCI treatment were selected.The hemorrhage causes of 22 patients with digestive tract hemorrhage were analyzed.Results:The incidence rate of female patientswas significantly higher than that of male(P<0.05).The gender,diabetes history,peptic ulcer history,hospital diagnosis of acutecoronary syndrome (ACS) and GP Ⅱ b/Ⅲ a receptor antagonist were the risk factors of postoperative bleeding.The age had nocorrelation.Conclusion:Using GPⅡb/Ⅲa drugs,gender,hospital diagnosis of ACS,diabetes ulcer history are the independent riskfactors of digestive tract hemorrhage after PCI treatment operation.It should cause the clinical attention.