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老年冠心病患者择期介入诊疗的临床观察

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摘要 目的评价老年冠心病患者(≥75岁)行经皮冠状动脉介入(PCI)治疗的成功率和术后疗效。方法对择期行PCI的56例患者的临床资料进行回顾性分析。结果 56例患者中43例手术成功,成功率为76.8%。其中2例发生股动脉穿刺处血肿(1例发生在动脉鞘管拔除1周后,1例发生臀部肌肉注射处渗血),经处理后症状消失。术后均随访12~24个月,11例患者仍有典型心绞痛发作,3例出现脑出血。另13例因冠状动脉双支弥漫性病变或多支病变放弃行PCI术。结论老年冠心病患者的介入治疗成功率相对偏低、术后症状缓解不明显者较多,术后抗凝治疗时出血等并发症发生率较高。
出处 《实用临床医学(江西)》 CAS 2012年第6期41-42,共2页 Practical Clinical Medicine
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