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急性心肌梗死(AMI)的治疗已经取得很大进展,直接经皮冠状动脉内介入术(直接 PCI)可以迅速恢复前向血流,从而改善 AMI 患者的生存率和远期预后。本文总结我院2001年12月至2005年3月28例 AMI 患者行直接 PCI 治疗的经验,评价其有效性和安全性。1 资料与方法1.1 临床资料 2001年12月至2005年6月共28例 AMI 患者接受直接 PCI 术。男17例,女11例,年龄42～81岁,平均64±13.5岁。心电图判断 AMI部位:前壁或广泛前壁心梗10例(35.7%),前壁并高侧壁心梗1例(3.6%),前壁心内膜下心梗1例(3.6%),下壁心梗13例(46.4%),下壁并右室梗
Great progress has been made in the treatment of acute myocardial infarction (AMI). Direct percutaneous coronary intervention (PCI) can rapidly restore the antegrade blood flow and thus improve the survival and long-term prognosis of patients with AMI. This article summarizes the experience of direct PCI in 28 patients with AMI from December 2001 to March 2005 in our hospital to evaluate its effectiveness and safety. 1 Materials and Methods 1.1 Clinical data December 2001 to June 2005 a total of 28 cases of AMI patients undergoing direct PCI. 17 males and 11 females, aged 42 to 81 years old, with an average of 64 ± 13.5 years. In the ECG, 10 cases (35.7%) had anterior or extensive anterior myocardial infarction, 1 case (3.6%) had anterior and high side wall myocardial infarction, and 1 case (3.6%) had anterior wall endocardial myocardial infarction. Lower wall myocardial infarction in 13 cases (46.4%), lower wall and right ventricular stem