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目的 总结我院对15例高龄患者介入治疗的临床疗效。方法 对15 例70~83 岁冠心病患者进行经皮冠状动脉腔内成形术(PTCA)+支架术或直接支架术的介入治疗。观察手术成功情况,并发症及术后随访情况。结果 共有37支血管病变,平均狭窄85%~100%。15 例患者中,12 例介入治疗成功,成功率80%。失败3例中,2例指引导丝不能通过病变处,1例急性闭塞,在球囊扩张后出现无复流现象,停止手术。未出现1 例严重并发症。随访6~12个月,12例成功者中,1例死于消化道大出血,余9例无严重心血管事件发生。结论 充分的术前准备,全面的评估、权衡利弊,谨慎的操作,在基层医院对高龄冠心病患者进行介入治疗是安全的。
Objective To summarize the clinical efficacy of interventional therapy in 15 elderly patients in our hospital. Methods Percutaneous transluminal coronary angioplasty (PTCA) + stenting or direct stenting was performed in 15 patients with coronary heart disease (70-83 years). Observe the success of surgery, complications and follow-up. Results A total of 37 vascular lesions, the average stenosis 85% to 100%. Of the 15 patients, 12 had successful intervention, with a success rate of 80%. In 3 cases, the guidewire failed to pass through the lesion in 2 cases and acute occlusion in 1 case. There was no reflow phenomenon after balloon dilation, and the operation was stopped. No serious complications occurred. Follow-up 6 to 12 months, 12 successful cases, 1 died of gastrointestinal bleeding, the remaining 9 cases of no serious cardiovascular events. Conclusion Adequate preoperative preparation, comprehensive assessment, weighing the pros and cons, cautious operation, in the primary hospital for interventional treatment of elderly patients with coronary heart disease is safe.