摘要
目的 观察经皮腔内冠状动脉成形术 (PTCA)治疗急性心肌梗死的有效性和安全性。方法 对 2 2例急性心肌梗死患者在发病后 12h内行PTCA术 ,其中的 18例患者置入冠脉内支架 2 0枚。梗死相关动脉前降支 12例 ,右冠脉 8例 ,回旋支 2例。结果 2 1例手术成功 ,成功病例中 ,术后血流恢复为急性心肌梗死溶栓治疗血流分级 (TIMI) 3级 17例 ,TIMI 0～ 1级 2例 ,TIMI 2级 2例。 1例术后死于急性左心衰竭和心源性休克。结论 PTCA是治疗急性心肌梗死的有效安全措施 ,成功率高 ,并发症少。
Objective To evaluate the efficiency and safety of PTCA in treatment of acute myocardial infarction.Methods Percutaneous transluminal coronary angioplasty (PTCA)was performed in 22 patinets with acute myocardial infarction within 12 hours from chest pain onset,20 coronary stents were implanted in 18 patients.Infarction related artery (IRA) was left anterior descending in 12,right coronary artery in 8,left circumflex in 2.Results The operation of 21 cases was succesful (success rate was 95%)of whom 18 gained.Thrombolysis in myocardial infarction (TIMI) flow grade 3,2 cases TIMI 0 1,2 cases TIMI 1,one patient died of cardiac shock and acute heart failure.Conclusion PTCA is a safe and reliable method in treatment of acute myocardial infarction with its high success rate and low complication.
出处
《河北医药》
CAS
2000年第9期645-646,共2页
Hebei Medical Journal
关键词
急性心肌梗死
经皮腔内冠状动脉成形术
myocardial infarction
angioplasty
transluminal
percutaneous
coronary
