目的：评价急性ST段心肌梗死后择期PCI患者机械性并发症发生率和手术安全性。方法：选取本院近10年来所有择期PCI患者76例，同时随机抽取该时间段内因各种原因未行择期PCI患者76例，两组均给予标准冠心病药物治疗，对两组患者急性心肌梗死后1年内情况进行观察，比较两组患者机械性并发症发生率和出血等安全性指标。结果：择期PCI组患者机械并发症明显减少，两组患者出血等安全性指标比较差异无统计学意义。结论：择期PCI组患者乳头肌功能不全、室壁瘤、心脏破裂等机械性并发症发生率明显减少，而出血等安全性指标两组对比无差异。%Objective: To evaluate acute ST-segment myocardial infarction patients who underwent elective PCI mechanical complication rates and surgical safety.Method: In past 10 years in our hospital 76 elective PCI patients and 76 cases who did not undergo elective PCI were randomly selected, the two groups were given standard drug treatment for coronary heart disease, after acute myocardial infarction 1 year, to observe the situation and compare the incidence of mechanical complications of bleeding and other safety indicators between the two groups.Result: Selective PCI group patients with mechanical complications decreased, bleeding safety index of the two groups showed no difference. Conclusion: The papillary muscle function, insufficiency, ventricular aneurysm, cardiac rupture mechanical complications of the elective PCI group significantly reduces, but comparative safety index such as incidence of bleeding between the two groups has no difference.
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