老年急性心肌梗死特点及急诊介入治疗近期疗效分析

被引:13
作者
刘洋
刘恒亮
赵友民
白树鸣
郝冬琴
开芸
柴建文
刘灵芝
耿国英
机构
[1] 郑州市人民医院心内科
关键词
老年人; 心肌梗死; 经腔血管成形术; 经皮冠脉介入治疗; 急性病; 预后;
D O I
暂无
中图分类号
R542.22 [];
学科分类号
1002 ; 100201 ;
摘要
目的探讨急诊经皮冠状动脉介入治疗(PCI)对老年急性心肌梗死(AMI)的疗效和安全性。方法采用回顾性分析方法 ,将228例行急诊PCI的AMI患者分为老年组(n=116例)和非老年组(n=112例),分别对两组的临床特征、住院时间和并发症发生率进行比较。结果两组患者平均住院时间非老年组明显短于老年组(P<0.01);入院到球囊扩张平均时间两组间无显著性差异(P>0.05),老年组置入2个以上支架数、住院期间二次PCI和梗死后心绞痛明显高于非老年组(P<0.01),再梗死两组间无显著性差异(P>0.05),老年组严重心律失常和泵功能KillipⅢ级以上明显多于非老年组血(P<0.01),但两组间心源性休克的发生率和30d死亡率无显著性差异(P>0.05)。结论老年AMI行急诊PCI治疗并发症高于非老年患者,但并不增加近期死亡率。
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页码:92 / 94
页数:3
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