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目的 :探讨60分钟开通急性ST段抬高心肌梗死直接PCI治疗路径的合理性与临床效果;方法 :随机选取我院2013年1月至2014年12月期间接诊的急性ST段抬高心肌梗死患者300例进行回顾性分析,其中240例患者接诊时能够行急诊介入治疗,其中206例患者血管再通时间控制在60min以内,34例患者超出60min,但未超出90min。所有行急诊介入治疗的患者中,232例患者行血栓抽吸及支架治疗,8例患者行冠脉旁路移植术;结果 :行急诊介入治疗且时间控制在60min之内的206例患者中,未出现死亡案例,而且致残率、并发症发病率均较低比例,取得明显效果;结论 :60min开通急性ST段抬高心肌梗死相关冠脉临床路径对于心肌梗死患者的治疗具有良好的临床效果,能够显著降低死亡率、致残率,而且并发症发病率大幅下降,具有临床推广意义。
Objective: To investigate the rationality and clinical effect of 60-minute direct PCI for acute ST-segment elevation myocardial infarction.Methods: Acute ST-elevation myocardial infarction (MI) was performed in our hospital from January 2013 to December 2014 Retrospective analysis was performed on 300 patients, of whom 240 patients were able to undergo emergency interventional treatment at the time of admissions. Among 206 patients, the duration of revascularization was controlled within 60 minutes and 34 patients exceeded 60 minutes but did not exceed 90 minutes. Among all the patients who underwent emergency intervention, 232 patients underwent thrombus aspiration and stent therapy and 8 patients underwent coronary artery bypass grafting. Results: Out of the 206 patients undergoing emergency interventional therapy within 60 minutes, No case of death occurred, and the morbidity and morbidity of complication were lower than those of the control group.Conclusion: The clinical pathways of coronary artery associated with acute ST-segment elevation myocardial infarction 60 min have a good clinical effect for the treatment of patients with myocardial infarction , Can significantly reduce mortality, morbidity, and the incidence of complications dropped significantly, with clinical significance.