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1995年8月至1996年10月急性心肌梗塞(AMI)胸痛后1.0~6.0小时(平均3.6±1.2小时)入院患者28例行直接经皮腔内冠状动脉成形术(PTCA),结果:25例(89.3%)血管再通,再通血管残留狭窄平均为14.5%±10.3%(0%~40%),血管再通距胸痛发病时间平均为5.6±2.2小时(3~9小时),23例再通存活患者中1例(4.3%)发生梗塞后早期(起病后30天内)心绞痛,认为直接PTCA在AMI治疗中占有重要位置。
From August 1995 to October 1996, 28 patients admitted to the hospital with acute myocardial infarction (AMI) 1.0-6.0 hours (mean 3.6 ± 1.2 hours) after chest pain were treated with direct percutaneous transluminal coronary angioplasty (PTCA) .Results: The recanalization rate of recanalization in 25 cases (89.3%) was 14.5% ± 10.3% (0% ~ 40%) on the average. The average recanalization time of chest pain was Was 5.6 ± 2.2 hours (3 to 9 hours), angina pectoris occurred in 1 (4.3%) of the 23 recanalization survivors in the early post-infarction period (within 30 days of onset) Occupies an important position.