摘要
目的:探讨老龄急性心肌梗死(AMI)患者进行院外或急诊经静脉溶栓加补救性经皮穿刺腔内冠状动脉成形术(PTCA)治疗对左室功能的影响。方法:确诊病例分为3组,A组:溶栓+PTCA;B组:为仅行溶栓术者;C组:仅行PTCA术者。三组患者分别于AMI后第1、4周行超声心动图(ECHO)检查,评价该项治疗对老龄AMI患者左室功能的影响。结果:紧急溶栓加补救性PTCA组术后各观察指标第1周与第4周比较差异有显著性(P<0.01);在术后第1周与第4周中,A组与B、C组各项观察指标比较差异也有显著性(P均<0.05)。B组术后第1、4周各项观察指标比较,WMSI差异有显著性(P<0.05)。C组术后第4周较术后第1周LVEF(%)、ESVI、WMSI也有改善(P<0.05)。结论:老龄AMI患者进行院外或急诊经静脉溶栓加补救性PTCA治疗是安全、有效的,可明显改善左室重构,提高左室功能,其近期疗效明显优于单纯溶栓术或单纯PTCA术者。
Objective：To evaluate the effects of dissolve thrombus and remedial percutaneous transluminal coronary angioplasty （PTCA） for the left ventricular function of senile patients with acute myocardial infarction（AMI）. Method ：The patients would be divided into 3 groups. These patients all would receive echocardiography（ECHO） examination in the lth and 4th week after acute myocardial infarction. To evaluate the effects of the left ventricular function after the streament in senile patients with AMI. Results：In A group,the indexs had a significant difference in the lth and 4th week after AMI（P〈0. 01）. The indexs between the A group and the other groups had a significant difference too （P〈0.05）. WMSI had a significant difference in the lth and 4th week after AMI in B group （P〈0.05）. LVEF,ESVI and WMS had significant differences too in C group in the lth and 4th week after AMI （P〈0. 05）. Conclusion ：It is safety and efficient to wich both dissolve thrombus and remedial PTCA in senile patients with AMI. Which can improve left ventricular ejection fraction more . The recent curative is better than dissolve thrombus or remedial PTCA only.
出处
《中国误诊学杂志》
CAS
2007年第16期3697-3699,共3页
Chinese Journal of Misdiagnostics
关键词
心肌梗塞/治疗
心肌梗塞/病理生理学
血栓溶解疗法
血管成形术
经腔
经皮冠状动脉
心室功能
左
Myocardial infarction/ therapy
Myocardial infarction/ physiopathology
Thrombolytic therapy
Angioplasty, transluminal, percutaneous coronary
Ventricular function, left
