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目的探讨高龄冠心病患者行冠状动脉介入治疗(PCI)的临床疗效及安全性。方法回顾性分析45例行PCI治疗的高龄冠心病患者的临床资料,观察其冠状动脉造影结果、介入治疗成功率、并发症及术后随访情况。结果 45例患者成功41例,总成功率91.1%,植入支架50只,并发症发生率为11.1%,术后随访6～12个月,3例再次出现胸痛发作,其中1例为原有支架闭塞;1例急性心肌梗死死亡。结论 PCI治疗高龄冠心病患者成功率高,是一种安全、有效方法。
Objective To investigate the clinical efficacy and safety of coronary intervention (PCI) in elderly patients with coronary heart disease. Methods The clinical data of 45 elderly patients with coronary heart disease undergoing PCI were retrospectively analyzed. The results of coronary angiography, success rate of intervention, complications and follow-up were observed. Results Forty-one patients were successful in 41 cases, with a total success rate of 91.1% and stent implantation of 50, with a complication rate of 11.1%. The patients were followed up for 6 to 12 months. Three patients had recurrent chest pain, of which 1 was original Stent occlusion; 1 case died of acute myocardial infarction. Conclusion PCI has a high success rate in elderly patients with coronary heart disease, which is a safe and effective method.