目的分析急诊经皮冠状动脉介入治疗术(PCI)治疗急性心肌梗死(AMI)的近期疗效。方法回顾分析湘西自治州医院2000-2002年146例AMI患者发病24h内急诊PCI的临床资料。结果141例急诊PCI成功,成功率96.6%,病死率2.7%,平均住院13d。结论对于胸痛超过12h但小于24h,仍然有缺血症状和体征的病人,急诊PCI仍然安全有效。 Objective To analyze the short-term curative effect of emergency percutaneous coronary intervention (PCI) on acute myocardial infarction (AMI). Methods The clinical data of 146 cases of AMI in Xiangxi Autonomous Prefecture Hospital from 2000 to 2002 were analyzed retrospectively. Results 141 cases of emergency PCI was successful, the success rate was 96.6%, the mortality rate was 2.7%, the average hospitalization 13d. Conclusions Emergency PCI is still safe and effective for patients who have chest pain for more than 12 hours but less than 24 hours and still have signs and symptoms of ischemia.