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急性心(肌)梗(塞)存活者中30%至58%有单支冠(状动)脉病变。虽然这些患者的病死率和再梗塞率甚低,但许多患者仍有心肌缺血和心绞痛,其最佳治疗方案尚未确定。本文对单支冠脉病变的急性心肌梗塞患者于病程早期不行溶栓治疗而直接作冠状动脉成形术,分析近期和远期疗效及其影响因素。研究对象包括 Mid America 心脏研究所1982年3月至1988年3月间连续收治的215例单支冠脉病变的急性心梗患者。患者
Acute myocardial infarction (plug) survivors 30% to 58% of single coronary artery disease. Although these patients have very low rates of mortality and reinfarction, many patients have myocardial ischemia and angina, and the best treatment is not well established. This article coronary artery disease in patients with acute myocardial infarction in the early course of thrombolytic therapy without direct coronary angioplasty, analysis of short-term and long-term efficacy and its influencing factors. Participants included 215 patients with acute myocardial infarction who had a single coronary artery lesion treated consecutively between March 1982 and March 1988 at the Mid America Heart Institute. patient