摘要
目的 评估ZEEK血栓抽吸导管在老年人急性心肌梗死患者治疗中的应用.方法 将94例行急诊介入治疗的老年急性ST抬高心肌梗死患者分为两组,其中使用ZEEK血栓抽吸导管52例（抽吸组）,未使用ZEEK血栓抽吸导管42例（对照组）.观察无复流发生率、术后ST段下降率、住院病死率及左心室射血分数等.结果 ZEEK组1例（1.9%）发生无复流,住院期间无死亡;对照组中5例（11.9%）发生无复流,死亡2例（4.8%）.两组患者的无复流发生率、ST段下降率、住院病死率及心功能差异有统计学意义（均P＜0.05）.结论 老年人急性心肌梗死在急诊介入治疗中,应用ZEEK血栓抽吸导管安全可行,可清除冠状动脉内血栓,改善心肌组织灌注,有可能改善术后心脏功能.
Objective To evaluate the application of ZEEK thrombus aspiration catheter in treatment of acute myocardial infarction （AMI） in elderly patients. Methods The 52 patients with ST-elevation myocardial infarction（STEMI）were treated with percutaneous coronary intervention （PCI） plus thrombus aspiration by using ZEEK thrombus aspiration catheter （ZEEK group）, and 42 STEMI patients were treated only with PCI （control group）. The regression rate of ST segment, left ventricular ejection fraction （LVEF）, incidence of no-reflow and mortality were followed up after PCI during hospitalization. Results No-reflow occurred in 5 （11.9%） patients and 1 （1.9 %） patient in the control group and ZEEK group, respectively. And 2 deaths were encountered only in the control group. The differences between the two groups were statistically significant （P＜0.05）.Conclusions AMI treatments with PCI and application of ZEEK aspiration thrombus catheter are safe and effective. The two methods could lower thrombosis burden, may improve distal myocardium perfusion and cardiac function after the procedure.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2010年第6期464-466,共3页
Chinese Journal of Geriatrics
关键词
心肌梗死
血管成形术
经腔
经皮冠状动脉
心脏功能试验
Myocardial infarction
Angioplasty, transluminal, percutaneous coronary
Heart function tests
