急性冠状动脉综合征介入治疗4670例近期疗效的评价

被引：45

作者：

韩雅玲

王耿

荆全民

王守力

王祖禄

王冬梅

马颖艳

栾波

机构：

[1] 沈阳军区总医院心血管内科,沈阳军区总医院心血管内科,沈阳军区总医院心血管内科,沈阳军区总医院心血管内科,沈阳军区总医院心血管内科,沈阳军区总医院心血管内科,沈阳军区总医院心血管内科,沈阳军区总医院心血管内科沈阳,沈阳,沈阳,沈阳,沈阳,沈阳,沈阳,沈阳

来源：

中华医学杂志 | 2005年 / 15期

关键词：

心肌梗塞; 心绞痛,不稳定型; 放射学; 介入性;

D O I：

暂无

中图分类号：

R541.4 [冠状动脉（粥样）硬化性心脏病（冠心病）];

学科分类号：

摘要：

目的分析过去15年经皮冠状动脉介入(PCI)治疗急性冠状动脉综合征(ACS)患者的近期临床疗效。方法1989年8月至2004年10月沈阳军区总医院心血管内科对4670例住院的ACS患者行PCI治疗,其中发病30d内的急性心肌梗死(AMI)患者1750例(37.5%),不稳定心绞痛患者2920例(62.5%)。评价PCI的成功率、合并症及住院期间近期临床疗效。结果PCI总的病例成功率为98.1%(4579/4670),AMI行急诊PCI者梗死相关动脉开通率98.2%(825/840)。住院期间共死亡52例(总病死率1.1%),其中术中死亡2例(术中病死率0.04%)。总的PCI相关并发症发生率为6.5%(304/4670)。从入院至PCI时间为3.5d±2.1d,平均住院12d±8d。结论PCI治疗ACS成功率高,术中、术后死亡率和手术相关并发症发生率低,近期疗效好。

引用

页码：1040 / 1044

页数：5

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