急性ST段抬高心肌梗死行急诊介入治疗疗效观察

Curative effect observation of emergency interventional therapy in the treatment of acute ST segment elevation myocardial infarction

目的:分析急诊经皮冠状动脉介入治疗急性ST段抬高心肌梗死(AMI)的安全性及临床疗效。方法:2010年1月-013年12月收治行急诊介入治疗的ST段抬高心肌梗死患者28例,对其临床资料进行回顾性分析。结果:单支病变12例、双支病变9例、三支病变5例、左主干并双支病变及并三支病变各l例;前降支26例,右冠脉20例,回旋支6例;术后即刻造影成功率96.4%;操作成功率92.9%。术后患者左室射血分数(55.4±9.15)%。结论:急诊经皮冠状动脉介入治疗急性ST段抬高心肌梗死手术成功率高,手术安全性高,明显降低患者死亡率,值得临床推广应用。

Objective:To explore the safety and clinical efficacy of emergency percutaneous coronary intervention in the treatment of acute ST segment elevation myocardial infarction.Methods:28 cases with ST segment elevation myocardial infarction treated with emergency interventional therapy were selected from January 2010 to December 2013.The clinical data were retrospectively analyzed.Results:12 cases were single vessel disease.9 cases were double branch lesion.5 cases were three lesions.Left main and double vessel lesions and three lesions were all 1 case.26 cases were the anterior descending branch.20 cases were right coronary artery.6 cases were circumflex artery.After the surgery,immediate angiographic success rate was 96.4%.The success rate of operation was 92.9%.After operation,patients with left ventricular ejection fraction was(55.4 ± 9.15)%.Conclusion:We use emergency interventional therapy in the treatment of acute ST segment elevation myocardial infarction,Its success rate is high.The operation safety is high.It can significantly reduce the mortality of patients,and it is worthy of clinical application.