论文部分内容阅读
目的:对急性ST段抬高型心肌梗死急诊冠脉支架植入术的治疗效果进行研究。方法:对我院2009年6月年至2011年6月期间所收治64例ST段抬高型心肌梗死患者进行回顾性分析。患者采用桡动脉径路的方式,并应用Judkins方法对患者进行常规的冠状动脉造影检查,查出梗死相关动脉(IRA)的具体发病位置,对患者实施血运重建术,并且配合相应的冠状动脉内支架置入术。结果:手术后大多患者血管前向血流情况明显好于手术前,54例患者TIMI血流3级,10例2级,患者残余狭窄不超过20%,手术成功率为84.38%(54/64)。结论:对急性ST段抬高型心肌梗死患者实施冠脉支架植入术,效果显著,有效的抑制了并发症的发生,临床值得推广。
Objective: To study the therapeutic effect of emergency coronary stent implantation in acute ST segment elevation myocardial infarction. Methods: A retrospective analysis was performed on 64 ST-segment elevation myocardial infarction patients from June 2009 to June 2011 in our hospital. The patients were treated with radial artery approach and the patients were underwent routine coronary angiography with Judkins method to find out the specific location of infarction related artery (IRA). The patients underwent revascularization and corresponding intracoronary Stent placement. Results: The blood flow of most patients was significantly better than that before operation. The TIMI flow was grade 3 in 54 patients and grade 2 in 10 patients. The residual stenosis was no more than 20% and the successful rate was 84.38% (54/64) ). Conclusion: The coronary stent implantation in patients with acute ST-segment elevation myocardial infarction has significant effect and effectively inhibits the occurrence of complications, which is worthy of clinical promotion.