【摘要】 目的比较延时急性ST段抬高型心肌梗死患者亚急性期不同阶段行冠状动脉介入治疗(PCI)的安全性。方法选取2018年1—12月辽宁省人民医院因ST段抬高型心肌梗死首诊并行延时PCI治疗的67例患者为研究对象。根据发病到介入手术时间分为早期介入治疗组(自发病起48 h～6 d行介入治疗,n=49)与择期介入治疗组(自发病起7～14 d行介入治疗,n=18)。比较两组患者的手术即刻成功率及患者院内病死率。观察术后3个月两组患者主要不良心脑血管事件(MACE)发生率。结果患者手术即刻成功率为100.0%(67/67),无院内死亡事件出现。早期介入治疗组术后3个月MACE发生率为2.0%(1/49),择期介入治疗组MACE发生为0(0),两组间比较,差异无统计学意义(P>0.05)。结论急性ST段抬高型心肌梗死患者行延时介入手术治疗时,早期及择期介入治疗的安全性无明显差异。更多还原

【Abstract】 Objective To investigate the safety of percutaneous coronary intervention(PCI)in patients with delayed acute ST-segment elevation myocardial infarction.Methods A retrospective study was performed on 67 cases of patients with ST-segment elevation myocardial infarction who underwent PCI from January to December 2018.According to the time from onset to interventional surgery,the patients were divided into the early interventional therapy group(48 hours-6 days since onset,n=49)and selective interventional therapy group(7-14 days since onset,n=18).The immediate success rate and mortality were compared.The incidence of major unconscionable cerebrovascular events(MACE)was observed 3 months after operation.Results The immediate success rate was 100%(67/67),and no hospital death occurred.The incidence of MACE was 2.0%(1/49)3 months after operation in the early intervention group and 0(0)in the selective intervention group,and the difference between the two groups was not statistically significant(P>0.05).Conclusion Early intervention and selective intervention in patients with acute ST-segment elevation myocardial infarction had the same safety.更多还原