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1995年 1 2月至 1 997年 1 2月共对 3 2例急性心肌梗塞 (AMI)病人施行急诊经皮腔内冠状动脉成形术 (PTCA) ,其中 1 8例置入冠脉内支架 2 0枚。直接PTCA 2 3例 ,补救性PTCA 9例。病人年龄 3 8～ 86岁 ,1 9例为多支病变 ,1 0例并发心源性休克。介入治疗后梗塞相关动脉 (IRA)全部开通 ,无手术并发症。术后 3 1例恢复TIMI 3级血流灌注 ,1例 2级。心源性休克病死率 3 0 %。对存活出院的 2 9例随访 1～ 2 5个月无室壁瘤、心力衰竭及死亡者 ,1例术后半年再发AMI。提示急诊介入治疗能明显降低AMI病死率 ,并具有良好的远期疗效。
A total of 32 acute myocardial infarction (AMI) patients underwent emergency percutaneous transluminal coronary angioplasty (PTCA) between January 1995 and January 1997, 18 of whom were placed in coronary stents Pieces. Direct PTCA 2 3 cases, 9 cases of remedial PTCA. The patients were 38 to 86 years old, 19 with multivessel disease and 10 with cardiogenic shock. After interventional treatment of infarcted artery (IRA) all open, no surgical complications. After operation, TIMI grade 3 perfusion was restored in 31 cases and grade 1 in 2 cases. Cardiac shock mortality 30%. 29 survivors were followed up for 1-25 months without aneurysm, heart failure and death, and 1 patient relapsed after 6 months. Prompt emergency intervention can significantly reduce the mortality rate of AMI, and has good long-term efficacy.