摘要
目的 探讨直接经皮冠脉成形术 (PCI)治疗心肌梗死 (AMI)住院期间死亡原因。方法 按入选标准对连续入院的 2 35例AMI患者行直接PCI,记录住院期间病死率、死亡原因及相关因素。结果 15例患者住院期间死亡 ,住院总病死率为 6 .4 % ,心脏性病死率为 6 .0 %。直接死亡原因包括心脏破裂 5例 (33.3% ) ,室颤 5例 (33.3% ) ,泵衰竭 4例 (2 6 .7% ) ,脑卒中死亡 1例 (6 .7% )。心脏破裂患者中继发于再次心肌梗死者 1例。所有室颤患者均为继发性 ,继发于再次心肌梗死的室颤 2例 ,继发于不稳定性心绞痛 2例 ,继发于左室衰竭 1例 ;1例为迟发性室颤 (PCI后 2周 )。泵衰竭患者中 ,心源性休克 3例 ,左室衰竭 1例。结论 直接PCI治疗AMI患者住院期间病死率为 6 .4 % ,心脏破裂、室颤和泵衰竭是主要的死亡原因 。
Objective To analyse the cause of death in AMI patients who underwent primary percutaneous coronary intervention(PCI)during in-hospital.Methods Two hundred and thirty-five consecutive AMI patients underwent primary PCI. The mortality, the cause of death and clinical characteristics during in-hospital were recorded. Results Fifteen patients died during in-hospital and total mortality was 6.4 %,cardiac mortality was 6.0%.The primary cause of death included cardiac rupture(33.3%), ventricular fibrillation(33.3%), pump failure(26.7%) and stoke(6.7%). One case of cardiac rupture was secondary to reinfarction. Two cases of ventricular fibrillation were secondary to reinfarction, two cases were secondary to unstable angina , one case was secondary to left ventricular failure and one case was late ventricular fibrillation. The patients with pump failure included three cases of cardiac shock and one case of left ventricular failure. Conclusions Total mortality was 6.4 % in patients who underwent primary PCI during in-hospital. Cardiac rupture, ventricular fibrillation and pump failure were primary cause of death, severe myocardial ischemia and heart failure were important inducements.
出处
《介入放射学杂志》
CSCD
2004年第S2期64-66,共3页
Journal of Interventional Radiology
