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目的探讨急诊经皮冠状动脉介入治疗(急诊PCI)对ST段抬高型急性心肌梗死的近期临床疗效。方法对56例ST段抬高型急性心肌梗死患者“罪犯”血管行急诊PCI,共置入了66枚支架。观察术后TIMI血流、心电图抬高的ST段回落率和术后1月内主要不良心血管事件(MACE)。结果53例急诊PCI获成功,未发生与PCI相关的并发症,术后达TIMI 3级血流53例,心电图ST段回落41例,术后1月内发生支架内亚急性血栓致死亡1例,其余未发生主要不良心血管事件。结论急诊PCI治疗急性ST段抬高型心肌梗死安全,近期疗效显著。
Objective To investigate the short-term clinical efficacy of emergency percutaneous coronary intervention (PCI) in patients with ST-elevation acute myocardial infarction. Methods A total of 66 stents were enrolled in 56 cases of ST-segment elevation acute myocardial infarction with “criminals” vascular emergency PCI. The postoperative TIMI blood flow, ST-segment elevation of electrocardiogram, and major adverse cardiovascular event (MACE) within 1 month after operation were observed. Results Fifty-three patients were successfully treated with PCI without any complications related to PCI. TIMI grade 3 blood flow was found in 53 cases and 41 cases of ST-segment electrocardiogram were eased in one case. One case of sub-acute stent thrombosis occurred within one month after operation , The rest did not occur the main adverse cardiovascular events. Conclusion Emergency PCI in the treatment of acute ST-segment elevation myocardial infarction is safe and has a short-term curative effect.