经皮冠状动脉内支架置入术治疗急性心肌梗死165例的效果

摘要

Objective: To study clinical effects of percutaneous coronary intervention (PCI) in patients with acute ST elevation myocardial infarction (STEMI). Methods: The clinical data of 165 cases with acute myocardial infarction (AMI) undergoing PCI were annlyzed. Results: Among 165 patients, there were 45 patients (27. 3%) with single vessel coronary disease, 49 patients (29. 7%) with double vessel coronary disease and 71 patients (43. 0%) with triple or more vessel coronary disease. A total of 165 patients were performed PCI and success rate was 98. 8%. For in-farct-related artery, 90 cases (54. 5%) were left anterior descending artery (LAD) and 112 stems were implanted; 21 cases (12.7%) were left circumflex coronary artery (LCX) and 23 stents were implanted) 54 cases (32.7%) were right coronary artery (RCA) and 70 stents were implanted. A total of 18 patients (10. 9%) occurred cardio-genic shock before PCI and in which two patient died because treatment failure. Conclusion; Percutaneous coronary intervention is safe, effective for patients with acute myocardial infarction.%目的:探讨经皮冠状动脉内支架置入术(PCI)治疗急性ST段抬高型心肌梗死(STEMI)的临床疗效.方法:总结165例急性心肌梗死(AMI)患者的PCI临床资料.结果:入选的165例AMI患者中单支病变45例(27.3％),双支病变49例(29.7％),三支或三支以上病变71例(43.0％).165例患者行PCI,成功率98.8％,共置入支架205枚.梗死相关血管为前降支(LAD) 90例(54.5％),置入支架112枚;左回旋支(LCX) 21例(12.7％),置入支架23枚;右冠脉(RCA) 54例(32.7％),置入支架70枚.PCI术前出现心源性休克者18例(10.9％),2例于术后死亡.结论:急性心肌梗死行经皮冠状动脉内支架置入术疗效肯定.