35例急性ST段抬高心肌梗死急诊PCI的近期疗效观察

摘要

目的：观察急性ST段抬高心肌梗死(STEMI)急诊经皮冠状动脉介入(PCI)治疗的疗效。方法35例急性ST段抬高心肌梗死患者在发病12~24 h内行急诊PCI。其中急性前壁、广泛前壁、前间壁心肌梗死共23例，急性下壁、下壁右室、下壁右室后壁共12例。结果35例患者中，冠状动脉造影显示梗死相关动脉(IRA)为左前降支(LAD)25例，左回旋支(LCX)4例，右冠(RCA)6例。35例患者均介入治疗成功， TIMI血流3级34例， TIMI 2级者1例。结论对急性STEMI患者行急诊PCI治疗积极有效，能明显提高患者生活质量，降低住院死亡率。%Objective To observe the curative effect of emergency percutaneous coronary intervention (PCI) in the treatment of myocardial infarction. Methods A total of 35 patients with acute ST-segment elevation myocardial infarction (STEMI), within 12-24 hours of morbidity, recevied emergency PCI. There were 23 cases with acute antetheca, extensive antetheca, and antero-septal myocardial infarction, and 12 cases with acute inferior wall, right ventricle of inferior wall, and paries posterior of right ventricle of inferior wall. Results The results of coronary angiogram showed that among the 35 cases, there were 25 cases with left anterior descending (LAD) as infarction related artery (IRA), 4 cases with left circumflex coronary artery (LCX), and 6 cases with right coronary artery (RCA). All 35 cases received successful interventional treatment, and there were 34 cases of TIMI grade 3, and 1 case of TIMI grade 2. Conclusion The application of emergency PCI is effective for acute STEMI patients. It can obviously improve their life quality and reduce in-hospital mortality.