摘要
目的:探讨急诊介入治疗(PCI)中无复流现象的预后及药物处理方法.方法:回顾性分析2003年1月～2004年12月间438例急诊PCI患者冠造资料、术中药物处理效果及预后.结果:无复流69例,发生率15.75%;其中心功能恶化16例(23.12%);梗死后心绞痛30例(43.48%);死亡11例(15.94%);均高于正常组,有统计学意义.扩冠药物处理后仅7例(10.14%)TIMI血流得到改善.结论:无复流患者预后差;扩冠药物对无复流现象无明显效果,其有效处理手段需进一步探讨证实.
Objective： To discuss the in - hospital clinical outcomes and effect of drug treatment of no - reflow phenomenon in acute myocardial infarction patients with emergent percutaneous coronary intervention（PCI） .Methods： 438 patients with successful PCI from Jan 2003 to Dec 2004, analyzed the anglography,effieacy of drug and the in-hospital outcomes. Results： 69（15.75%） patients had no - retlow phenomenon ; only 7 （ 10.14% ） of them had better TIMI after drug treatment; 16（23.12% ） had higher Kilhp class , 30（43.48% ） had post - infarction angina, 11 （ 15.94% ） dead. Canclusiort ： Patients with no - reflow had high in - hospital incidents; Drug therapy had no evident effect in no - reflow phenomenon.
出处
《中国医药导刊》
2005年第4期253-254,共2页
Chinese Journal of Medicinal Guide
