摘要
自1998年11月～2002年10月对我院86例冠心病患者施行经皮穿刺冠状动脉成形术(PTCA)+支架术中的107支冠状动脉置入123个支架。置入成功率为96.5％。其中急性心肌梗死47例,陈旧性心肌梗死15例,不稳定型心绞痛18例,稳定型心绞痛6例。B型病变占多数。狭窄程度由术前的83.6±14.7％减至术后1.1±5.3％。1例术后40分钟出现剧烈胸痛,ST段抬高,心源性休克,再行PTCA及置入支架术未成功,术后3小时死亡。2例在导管室支架内血栓形成,血压下降,术后发生难治性心力衰竭。余随访中9例术后6个月内胸痛发作。由于支架的使用,扩大了PTCA的适应症,减少了并发症。
From December 1998 to October 2002, 123 cases of coronary stents in 107 coronary arteries have been implanted in 86 cases of patients with coronary haat disease who received FTCA plus coronary stent surgery.96.5% were successful. Among these cases, there were 47 cases of acute myocardial infarction, 15 cases of old myocardial infarction, 18 cases of unstable angina and 6 cases of stable angina.Type B diseases were the majority.The narrowing degree was reduced from 83.6±14.7% (before operation) to 1.1±5.3% (after operation) .There was one case who developed severe chest pain 40 minutes after operation, with elevation of ST segments and cardiac shock. Second PTCA was performed but failed.This patient died 3 hours later.Thrombus were formed within coronary arteries in 2 cases, with decrease of blood pressure and incurable heart failure. Nine cases developed chest pain 6 months later.The use of stent increases the application of PTCA and reduces the complications.
出处
《医学研究通讯》
2003年第7期24-25,共2页
Bulletin of Medical Research
