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目的:评价经皮冠状动脉介入治疗(PCI)对高龄(年龄≥75岁)急性冠状动脉综合征(ACS)患者的疗效和安全性。方法:入选经PCI治疗的98例高龄ACS患者,评价手术成功率,院内死亡、PCI相关并发症以及随访期间主要心脏不良事件。结果:急诊PCI成功率100%,靶病变介入总成功率95.9%,出血并发症16.7%,院内死亡率1.1%;经(22.9±13.3)个月随访表明主要心脏不良事件为13.4%。结论:PCI治疗ACS高龄患者,是安全有效的,但要注意出血并发症。
Objective: To evaluate the efficacy and safety of percutaneous coronary intervention (PCI) in elderly patients (≥75 years old) with acute coronary syndrome (ACS). METHODS: A total of 98 elderly patients with ACS treated with PCI were enrolled to evaluate the success rate of surgery, hospital mortality, PCI-related complications, and major adverse cardiac events during follow-up. Results: The success rate of PCI was 100% in emergency department, 95.9% in target group, 16.7% in bleeding complication and 1.1% in hospital. The follow-up of (22.9 ± 13.3) months showed that the main cardiac adverse events were 13.4%. Conclusions: PCI is safe and effective in elderly patients with ACS, but attention should be paid to bleeding complications.