【摘要】 目的:探讨经皮冠状动脉内支架置入术(PCI)治疗急性ST段抬高型心肌梗死(STEMI)的临床疗效。方法:总结165例急性心肌梗死(AMI)患者的PCI临床资料。结果:入选的165例AMI患者中单支病变45例(27.3%),双支病变49例(29.7%),三支或三支以上病变71例(43.0%)。165例患者行PCI,成功率98.8%,共置入支架205枚。梗死相关血管为前降支(LAD)90例(54.5%),置入支架112枚;左回旋支(LCX)21例(12.7%),置入支架23枚;右冠脉(RCA)54例(32.7%),置入支架70枚。PCI术前出现心源性休克者18例(10.9%),2例于术后死亡。结论:急性心肌梗死行经皮冠状动脉内支架置入术疗效肯定。更多还原

【Abstract】 Objective:To study clinical effects of percutaneous coronary intervention(PCI) in patients with acute ST elevation myocardial infarction(STEMI).Methods:The clinical data of 165 cases with acute myocardial infarction(AMI) undergoing PCI were annlyzed.Results:Among 165 patients,there were 45 patients(27.3%) with single vessel coronary disease,49 patients(29.7%) with double vessel coronary disease and 71 patients(43.0%) with triple or more vessel coronary disease.A total of 165 patients were performed PCI and success rate was 98.8%.For infarct-related artery,90 cases(54.5%) were left anterior descending artery(LAD) and 112 stents were implanted;21 cases(12.7%) were left circumflex coronary artery(LCX) and 23 stents were implanted;54 cases(32.7%) were right coronary artery(RCA) and 70 stents were implanted.A total of 18 patients(10.9%) occurred cardiogenic shock before PCI and in which two patient died because treatment failure.Conclusion:Percutaneous coronary intervention is safe,effective for patients with acute myocardial infarction.更多还原