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目的探讨老年冠心病三支病变介入治疗的特点和近、远期疗效。方法回顾性分析116例行PC I患者的临床资料,分析高龄冠心病三支病变患者的临床及冠脉病变特点,不宜或未能置入支架而需外科搭桥以及术后发生不良事件的比例。结果高龄冠心病患者合并高血压、糖尿病、高脂血症等、冠脉多支病变和复杂病变多,住院期间及远期随访提示经介入治疗后症状和(或)体征缓解明显。结论高龄冠心病患者冠脉病变的特点常为多支和复杂病变,介入治疗后症状和(或)体征缓解明显、远期效果好。
Objective To investigate the characteristics and short-term and long-term effects of interventional therapy for three-vessel diseases in elderly patients with coronary heart disease. Methods The clinical data of 116 patients with PC I were retrospectively analyzed. The clinical and coronary characteristics of three patients with advanced coronary artery disease were analyzed retrospectively. The proportions of surgical bypass and postoperative adverse events were considered as appropriate or unsuccessful. Results The elderly patients with coronary heart disease complicated with hypertension, diabetes, hyperlipidemia, multiple coronary lesions and complex lesions, hospitalization and long-term follow-up prompts after the interventional treatment symptoms and (or) obvious signs of relief. Conclusions Coronary lesions in elderly patients with coronary heart disease are often characterized by multiple branches and complicated lesions. The symptoms and / or signs of remission after the interventional treatment are obvious, and the long-term effect is good.