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目的探讨急性心肌梗死患者中置入国产支架的安全性及疗效。方法共有36例急性心肌梗死患者人选。年龄(57±9．7)岁的36例患者均顺利完成急诊PCI及支架置人。其中前璧心肌梗死18例；下壁心肌梗死14例；高侧壁心肌梗死2例；后壁合并右室心肌梗死2例。合并糖尿病12例,高血压20例．吸烟18例。结果36例患者置入国产支架37枚,术中未出现并发症,血流均达到TIMI3级。7d时20例患者造影随访未见支架内血栓形成,血流维持TIMI3级。结论国产支架用于急性心肌梗死是安全有效的。
Objective To investigate the safety and efficacy of domestic stents in patients with acute myocardial infarction. Methods A total of 36 patients with acute myocardial infarction candidates. Thirty-six patients (57 ± 9.7 years) completed the emergency PCI and stent placement successfully. Among them, 18 cases were myocardial infarction of preeclamptic wall, 14 cases of inferior myocardial infarction, 2 cases of high side wall myocardial infarction and 2 cases of posterior wall with right ventricular myocardial infarction. 12 cases of diabetes mellitus, hypertension in 20 cases. 18 cases of smoking. Results Thirty-six patients were treated with 37 domestic stents. There were no complications during operation and blood flow reached TIMI level 3. At 7 days, no stent thrombosis was observed in 20 patients with angiographic follow-up. The blood flow was maintained at TIMI level 3. Conclusion Domestic stent is safe and effective for acute myocardial infarction.