55例急性心肌梗死急诊介入治疗的疗效评价

Evaluation of the clinical effect of PCI on acute myocardial infarction in 55 pationts

目的 :观察急性心肌梗死介入治疗的临床效果。方法 :对 5 5例急性心肌梗死患者发病 12小时内行急诊PCI。梗死相关血管 10 6支 ,前降支 3 4例 (61 8% ) ,回旋支 6例 (10 8% ) ,右冠状动脉 15例 (2 7 2 % )。结果 :5 5例中 ,PTCA 18例 ,PTCA及置入支架 3 3例。术后TIMI血流 3级 49例 (89 1% ) ,Ⅱ级 4例 (7 3 % ) ,Ⅰ -0级 2例 (3 6% )。住院期间并发心原性休克 5例 ,其中 1例严重 3支病变者死亡。结论 :急性心肌梗死时行急诊PCI成功率高 ,并发症少。

Objective To evaluate the clinical effect of PCI for acute myocardial infarction.Methods Fifty-five patients were performed PCI in 12 hours after onset.Infarct-related arteries included 34 left anterior descending arteries (61 8%),6 left circumfles (10.8%) and 15 right arteries (27.2%).Results Of these 55 patients,PTCA was performed in 18 patients and PTCA and stenting in 33 patients.Forty-nine patients were found post-PCI TIMI 3 flow( 89.1% ),4 were TIMI 2 flow(7.3%) and 2 were TIMI Ⅰ～0(3.60%).Five patients occurred cardiogenic shock,in which one with severe triple-vessel disease died.Conclusion Acute PCI in acute myocardial infarction has high successful rate and few complication.