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目的:探讨80岁以上的高龄的急性心肌梗死(AMI)患者急诊介入治疗(PCI)的疗效及安全性。方法:对24例平均年龄(84.0±3.7)岁的急性心梗患者进行PCI,观察手术即刻效果及近远期疗效。结果:22例取得即刻成功(成功率91.7%),共对32支靶病变血管行PCI,共植入支架41(平均1.7±0.8)枚。15支IRA为完全闭塞病变,即刻开通14支,院内死亡4例。平均随访(18.5±14.8)月,14例未再出现心绞痛,1例术后8月死于肺癌。结论:急诊PCI对80岁以上的高龄AMI患者来说,仍是一种安全、有效的治疗手段。
Objective: To investigate the efficacy and safety of emergency intervention (PCI) in patients over 80 years of age with acute myocardial infarction (AMI). Methods: Twenty-four patients (mean age 84.0 ± 3.7 years) with acute myocardial infarction were enrolled in this study. The immediate effect and short-term effect were observed. Results: Immediate success was achieved in 22 cases (91.7% success rate). Thirty-two target vessels were implanted with stent 41 (average 1.7 ± 0.8). Fifteen IRA patients were completely obliterated and 14 were immediately opened and 4 were hospitalized. The average follow-up (18.5 ± 14.8) months, 14 patients no angina pectoris, 1 patient died of lung cancer in August. Conclusion: Emergency PCI is still a safe and effective treatment for elderly AMI patients over 80 years of age.