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目的:讨论急诊PCI治疗急性ST段抬高型心肌梗死患者的预后影响因素。方法:选取2015年3月至2016年1月,98例急性ST段抬高型心肌梗死并进行PCI治疗的患者为研究对象。结果:不同灌注时间对患者预后的影响,介入时间在2h以内的患者手术中室颤的发生率、TIMI血流分级情况、LVEF、ST回落、术后不良反应发生方面以及住院时间均优于时间大于2h的患者。结论:在治疗急性ST段抬高型心肌梗死时,尽早的进行灌注,可以有效的提高患者的治疗效果,加速患者的恢复,缓解患者的临床症状,降低患者不良反应的发生率,保障患者的生命安全。
Objective: To discuss the prognostic factors of emergency PCI in patients with acute ST-segment elevation myocardial infarction. Methods: From March 2015 to January 2016, 98 patients with acute ST-segment elevation myocardial infarction who underwent PCI were enrolled. Results: The effect of different perfusion time on the prognosis of patients, the incidence of ventricular fibrillation, TIMI grade, LVEF, ST drop, postoperative adverse reactions and hospital stay were better than those of patients with interventional time within 2h More than 2h patients. Conclusion: In the treatment of acute ST-segment elevation myocardial infarction, as early as possible perfusion, which can effectively improve the therapeutic effect of patients to speed up the recovery of patients to alleviate the clinical symptoms and reduce the incidence of adverse reactions in patients with protection of patients life safety.