摘要
目的:探讨冠状动脉血栓抽吸术联合经皮冠状动脉介入术治疗急性心肌梗死合并冠状动脉血栓的疗效。方法:79例急性心肌梗死合并冠状动脉血栓患者,其中38例行急诊冠状动脉血栓抽吸术联合经皮冠状动脉介入术(治疗组),41例行择期经皮冠状动脉介入术(对照组)。比较2组急性期、术后1 a心脏事件发生率,病死率。结果:治疗组与对照组急性期心脏事件发生率分别为21.1%和34.1%,病死率分别为5.3%和9.7%,2组比较差异有统计学意义(P<0.01)。术后1 a治疗组与对照组心脏事件发生率分别为8.6%和13.9%,病死率分别为2.8%和5.5%,2组比较差异有统计学意义(P<0.01)。结论:急诊行冠状动脉血栓抽吸术联合经皮冠状动脉介入术治疗急性心肌梗死合并冠状动脉血栓安全、有效,对心功能的恢复,减少心脏事件和并发症的发生有重要意义。
Objective To approach the clinical significance of direct coronary thrombus suction combined with stent implantation for acute myocardial infarction complicated with coronary artery thrombus.Methods A total of 79 cases of acute myocardial infarction with artery thrombus received interventional therapy,in which 38 cases（therapy group） received direct coronary thrombus suction combined stent implantation,and 41 cases（control group） received selective percutaneous coronary intervention.Results During acute phase,the incidence rates of cardiac events were 21.1 % and 34.1 %,and the fatality rates were 5.3% and 9.7% in therapy group and control group,which showed significant differences（P0.01）.During 12-month follow-up survey,the incidence rates of acute phase cardiac events were 8.6% and 13.9%,and the fatality rates were 2.8% and 5.5% in therapy group and control group,which showed significant differences（P0.01）.Conclusion The direct coronary thrombus suction combined with stent implantation is safe and effective for acute myocardial infarction complicated with coronary artery thrombus.It can reduce the incidences of major cardiac events and the complications,and improve the cardiac function.
出处
《中华实用诊断与治疗杂志》
2011年第1期46-47,51,共3页
Journal of Chinese Practical Diagnosis and Therapy
关键词
心肌梗死
血栓
血管成形术
支架
Myocardial infarction
thrombus
angioplasty
stents
