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自１９９４年４月至１２月对急性心肌梗塞１５例，进行了紧急冠状动脉造影术。根据患者临床病情和血管情况，对其中１２例进行了直接ＰＴＣＡ，１０例成功，２例因导引钢丝不到位而失败。其余３例因严重的３支血管病变而采取药物治疗。１０例成功ＰＴＣＡ患者，男性６例，女性４例，平均年龄６５．５±５．４岁（４２～７７岁）。单支血管病变５例，两支血管病变以上者５例。急性下壁心梗５例（２例合并正后壁心梗），前壁心梗４例，高侧壁合并下壁心梗１例。有２例合并心源性休克，２例合并左心衰。梗塞相关血管段，右冠状动脉５段，前降支４段，回旋支１段。术后残留狭窄从９８％下降至２２％。冠脉血流从ＴＩＭＩＯ～Ⅱ级全部达到Ⅲ级。
From April 1994 to December in 15 cases of acute myocardial infarction, emergency coronary angiography. According to the clinical conditions and vascular conditions of patients, direct PTCA was performed in 12 of them, 10 cases were successful, and 2 cases failed due to the guide wire was not in place. The remaining 3 cases were treated with medication due to severe 3-vessel disease. Ten patients with successful PTCA, 6 males and 4 females, mean age 65.5 ± 5.4 years (42 to 77 years). Single vessel disease in 5 cases, two vascular lesions in more than 5 cases. 5 cases of acute inferior myocardial infarction (2 cases with posterior wall myocardial infarction), 4 cases of anterior myocardial infarction, 1 case of inferior wall combined with high myocardial infarction. There were 2 patients with cardiogenic shock, 2 patients with left heart failure. Infarction-related vascular segment, right coronary artery 5, anterior descending artery 4, cyclotron branch 1. Postoperative residual stenosis decreased from 98% to 22%. Coronary blood flow from grade TIMIO ~ Ⅱ all reached Ⅲ grade.