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经皮冠状动脉介入治疗心肌梗死127例临床观察

Curative Effects of 127 Patients underwent Percutaneous Coronary Intervention Therapy

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【作者】 段晨阳刘梦颖王旭开

【Author】 DUAN Chen-yang1,LIU Meng-ying1,WANG Xu-kai2△(1 Department of Clinical Medicine,the Third Military Medical University,Chongqing,400038,China;2 Cardiovascular Dept,Daping Hospital Third Military Medical University,Chongqing,400032,China)

【机构】 解放军第三军医大学临床医学系第三军医大学大坪医院野战外科研究所心血管内科

【摘要】 目的:分析经皮冠状动脉介入治疗(PCI)的疗效和安全性。方法:对2011年1月~2011年12月完成的127例经皮冠状动脉介入治疗患者进行回顾性分析,其中急性心肌梗死介入治疗50例,不稳定性心绞痛15例,稳定性心绞痛62例。结果:手术总成功率为95.3%(121/127例),A型病变成功率98.8%(80/81例);B型病变成功率为93.3%(28/30例);C型病变成功率为75.0%(12/16例),共置入169个支架。失败6例,其中2例死亡,发现心肌桥12例(9.4%)。结论:经皮冠状动脉介入治疗疗效确切,成功率高,并发症低,且能明显改善急性心肌梗死的预后。

【Abstract】 Objective:To investigate the curative effects and safety of Percutaneous Coronary Intervention(PCI) Therapy.Methods:The clinical data of 127 Coronary Artery Disease Patients underwent PCI were retrospectively analyzed and patients were divided into acute myocardial infarction(AMI) group(n=50),unstable angina group(n=15) and stable angina group(n=62) from January 2011 to December 2011 in Affiliated Daping Hospital of the Third Military Medical University.Results:Operation total success rate was 95.3%(121/127),98.8%(80/81) in Type A lesions;93.3%(28 /30) in Type B;75%(12/16) in Type C patients.A total of 169 stents were implanted into coronary arteries dividedly,otherwise failed in 6 cases,and 2 patients died in the period of PCI.Myocardial bridges were detected in 12 cases of the total patients(9.4%).Conclusions:PCI was effective with less complications in Coronary Artery diseases,and can obviously improve the prognosis in acute myocardial infarction.

【基金】 国家自然科学基金项目(81170281)
  • 【文献出处】 现代生物医学进展 ,Progress in Modern Biomedicine , 编辑部邮箱 ,2012年32期
  • 【分类号】R541.4
  • 【被引频次】1
  • 【下载频次】30
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