【摘要】 目的　评价冠状动脉 3支闭塞的急性心肌梗死 (AMI)病人近期预后。方法　对急性心肌梗死患者行冠状动脉造影术 ,从中选择 3支冠状动脉闭塞的患者 31例 ,将其分为院内死亡组和生存出院组。进行多因素比较分析。结果　院内死亡因素主要是心功不全和心律失常。左前降支近端闭塞院内死亡率高于右冠状动脉近端闭塞 (P <0 0 1)。结论　 3支病变的AMI中 ,左前降支近端闭塞是院内死亡的最重要因素 ,应尽早实现再灌注。更多还原

【Abstract】 Objective To evaluate the short-term prognosis of acute myocardial infraction with triple vessel obliterated.Methods We performed coronary arteriography on the patients of AMI and selected 31 patients with triple vessel obliterated.They were classified into two groups-expired in hospital and survival until discharge-to analyze by multivariate statistical analysis.Results Heart failure and obliteration of proximal left anterior descending branch were the main cause of death during hospitalization. The mortality is high if PTCA was performed unsuccessfully in acute period of AMI ( P <0 05) The mortality of obliteration of proximal left anterior descending branch is higher than that of obliteration of proximal right coronary artery ( P <0 01).Conclusions Obliteration of proximal left anterior descending branch was the main cause of death.Reperfusion should be performed earlier as soon as possible.更多还原