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目的 观察经皮冠状动脉腔内成形术 (PTCA)在老年人急性心肌梗死治疗中的安全性和临床疗效。 方法 对 36例老年急性心肌梗死的患者行PTCA或PTCA加支架治疗。 结果 36例急性心肌梗死患者中 14例行直接PTCA ,5例补救PTCA ,17例择期PTCA。 36例手术成功 33例 ,术后TIMI血流均获 3级以上 ,失败 3例。有16例置入冠脉内支架 2 1枚 ,住院期间死亡 2例。 结论 PTCA是治疗老年人急性心肌梗死的安全有效的方法 ,可降低急性期死亡率。
Objective To observe the safety and clinical efficacy of percutaneous transluminal coronary angioplasty (PTCA) in the treatment of elderly patients with acute myocardial infarction. Methods Thirty-six elderly patients with acute myocardial infarction were treated with PTCA or PTCA plus stent. Results Of the 36 patients with acute myocardial infarction, 14 received direct PTCA, 5 received PTCA, and 17 received PTCA. Thirty-six cases were successful in operation, TIMI blood flow was more than grade 3 after operation, and 3 cases failed. There were 16 cases with 21 coronary stents and 2 died during hospitalization. Conclusion PTCA is a safe and effective method for the treatment of acute myocardial infarction in the elderly and can reduce the mortality rate in acute stage.