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OALib Journal期刊
ISSN: 2333-9721
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急性心肌梗死伴心衰、心源性休克病人经皮冠状动脉介入治疗近中期疗效
, PP. 1064-1066
Keywords: 心肌梗死,心力衰谒,心源性休克,pci,溶栓,梗死相关血管
Abstract:
目的观察st段抬高急性心肌梗死(ami)伴心衰、心源性休克患者经皮冠状动脉介入治疗(pci)的近期、中期疗效。方法总结分析206例st抬高ami患者的临床资料,其中伴心衰和/或休克90例。对心衰或/和心源性休克患者行pci58例(pci组:急诊pci41例,外院转入行补救性pci17例),药物溶栓20例(溶栓组),一般治疗12例(未行再灌注组);分析各组患者的临床特征,并比较pci组及溶栓组的住院时间、住院及随访期间不良心血管事件发生率、心功能恢复情况,观察pci组血管开通时间、timi血流与预后的关系。结果pci组、溶栓组血管开通率分别为98.3%和65.0%(p<0.01),平均住院时间分别为(15.3±3.5)d和(20.5±4.4)d,住院及随访期间死亡率pci组6.9%,溶栓组25%(p<0.05)。pci组两亚组术后心功能恢复均好于溶栓组(p<0.01和p<0.05)。结论对于st段抬高ami伴心衰、心源性休克患者,pci与溶栓相比,能及时开通血管且开通率高,术后近期及中期心功能恢复较好,不良心血管事件少,是一种安全有效的治疗措施,可作为首选。
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