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[目的]总结中医院开展冠心病介入治疗的临床体会。[方法]对45例经冠状动脉造影证实为冠心病的患者施行经皮冠状动脉腔内成形术(percutaneoustransluminalcoronaryangioplasty,PTCA)和支架植入术,包括急性心肌梗塞28例,陈旧性心肌梗塞2例,心绞痛15例。其中单支病变16例,双支病变20例,三支病变9例。血管狭窄大于75%60支。[结果]44例PTCA共扩张47支狭窄血管,成功率97.8%,其中37例在PTCA后置入支架43只。[结论]中医院开展冠心病介入治疗,尤其是急性心肌梗塞后的PTCA,配合中医药治疗,有改善心功能,促进康复的作用。
[Objective] To summarize the clinical experience of TCM hospital in interventional therapy of coronary heart disease. [Method] Percutaneous transluminal coronary angioplasty (PTCA) and stenting were performed in 45 patients with coronary heart disease confirmed by coronary angiography, including 28 cases of acute myocardial infarction, 2 cases of old myocardial infarction, Angina in 15 cases. Including 16 cases of single-vessel disease, double-vessel disease in 20 cases, three lesions in 9 cases. Stenosis greater than 75% 60. [Results] Forty-nine PTCA patients underwent a total of 47 stenotic vessels with a success rate of 97.8%. Thirty-seven of them had 43 stents after PTCA. [Conclusion] Chinese medicine hospital carries out interventional therapy of coronary heart disease, especially PTCA after acute myocardial infarction. With Chinese medicine treatment, it can improve heart function and promote rehabilitation.