论文部分内容阅读
目的分析本中心急性冠状动脉综合征患者的急诊介入治疗详细特征及趋势,以便更及时、有效地救治患者。方法对在我中心实施急诊介入治疗的230例急性冠状动脉综合征患者进行分析,总结病例的临床特征、介入治疗时间窗、治疗情况及近期预后。结果平均年龄增大、高龄及高危患者增多,治疗时间窗中各时间段(发病→急诊科→导管室→首次球囊扩张)均有缩短,其中导管室→首次球囊扩张时间缩短显著;药物支架、远端保护装置、血栓抽吸器、预防性冠状动脉联合注射防止无复流药物在近两年增长迅速,无血流发生率、主要心血管事件发生率及平均住院日显著下降,同时溶栓后介入治疗较直接介入治疗各种严重出血并发症无明显增加。结论急诊介入治疗是急性冠状动脉综合征的最有效治疗方法之一,各种新型辅助技术的使用可有效预防严重并发症的发生。
Objective To analyze the detailed characteristics and trends of emergency interventional treatment in patients with acute coronary syndrome in our center in order to provide more timely and effective treatment of patients. Methods The 230 patients with acute coronary syndrome who underwent emergency intervention in our center were analyzed. The clinical features, time window of interventional therapy, treatment and prognosis were summarized. Results The average age increased, the number of elderly patients and high-risk patients increased, and the duration of the treatment time window (onset → emergency department → catheterization room → initial balloon dilatation) was shortened. The catheter room → initial balloon dilatation time was shortened significantly. The drug Stents, distal guards, thrombus aspirators, and prophylactic coronary injections prevented rapid progression of no-reflow drugs in the past two years with a significant reduction in the incidence of non-blood flow, major cardiovascular events, and mean length of stay Interventional therapy after thrombolysis than the direct interventional treatment of various serious complications of bleeding without significant increase. Conclusion Emergency intervention is one of the most effective treatments for acute coronary syndrome. The use of various new assistive technologies can effectively prevent the occurrence of serious complications.