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目的探讨急诊经皮冠状动脉介入治疗急性心肌梗死的临床疗效及安全性。方法35例急性心肌梗死患者直接行冠脉造影术和梗死相关动脉介入治疗(急诊PC I组);39例急性心肌梗死患者行静脉溶栓(对照组)进行对比研究。结果急诊PC I组冠脉再通率高于对照组;平均住院天数、梗死后心绞痛、心源性休克发生率、总死亡率和室性心律失常发生率明显低于对照组(P<0.01)。结论急性心肌梗死急诊冠脉介入治疗安全性高、死亡率低、血管再通率高、住院天数短,是一种有效的治疗方法。
Objective To investigate the clinical efficacy and safety of emergency percutaneous coronary intervention in the treatment of acute myocardial infarction. Methods Thirty-five patients with acute myocardial infarction underwent direct coronary angiography and interventional PCI (emergency PCI group). Thirty-nine patients with acute myocardial infarction received intravenous thrombolysis (control group). Results The rate of coronary recanalization in the emergency PCI group was higher than that in the control group. The average length of hospital stay, angina pectoris, cardiogenic shock, total mortality and ventricular arrhythmia were significantly lower than those in the control group (P <0.01). Conclusion The acute coronary intervention in patients with acute myocardial infarction is an effective treatment because of high safety, low mortality, high recanalization rate and short hospital stay.