急性心肌梗死PTCA+ICS治疗观察

Observation of acute myocardiac infarction treated with PTCA and ICS

目的 评价急诊PTCA +ICS术治疗急性心肌梗死 (AMI)的疗效与安全性。方法 38例AMI病人在入院 12h内接受PTCA +ICS术 ,共用球囊扩张 15例 ,置入支架 2 3例 ,术后即行冠状动脉造影评价梗阻血管血流情况 ,观察住院及近期临床事件。结果 35例 (92 1% )病人梗死相关动脉 (IRA)重建TIMIⅢ级 ,全部病例IRA残余狭窄 <10 % ,皮下血肿 2例 ,无脑出血及死亡病例。结论 急性PTCA +ICS术治疗急性心肌梗死成功率高 ,住院及近期临床效果好 ,是抢救及挽救濒死心肌的安全可靠方法。

Objective To evaluate the effect and safty of emergency PTCA and ICS on acute myocardiac infarction(AMI).Methods Thirty eight cases were performed PTCA and ICS within 12 hours in hospitalization.Among them 15 cases underwent blood ablation and 23 cases stent plant.Coronary angiograpy was observed to evaluate the blood flow of myocardial infarction related vessels.Recent hospitalized events were also observed after operation.Results The infarction related artery were reconstructed to TIMI grade Ⅲ blood flow in 35 cases(92.1%).The residual stenosis was less than 10% in all of the patients.No brain bleeding and death cases were found.Conclusion The emergency PTCA and ICS has higher success rate and good results in the treatment of AMI.It's a safty and reliable methods to rescue the dying myocardium.