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宜兴地区急性ST段抬高性心肌梗死再灌注治疗现状分析 被引量:1

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摘要 目的:分析宜兴地区急性ST段抬高性心肌梗死(STEMI)再灌注治疗现状,为该地区急性STEMI早期再灌注治疗提供临床依据。方法:回顾性分析2013年1月至2013年12月入住宜兴市人民医院心内科191例发病时间≤12h的急性STEMI患者的临床资料,包括一般情况如性别、年龄等,发病至门急诊时间、门急诊至球囊扩张时间(门球时间)、门急诊至静脉溶栓时间(门针时间)。结果:191例急性STEMI,97例行急诊经皮冠状动脉介入治疗(PCI),22例行溶栓治疗,72例未行再灌注治疗,再灌注治疗率62.3%。门针时间平均48±10.2 min,门球时间平均124±36.4 min,发病至门急诊时间平均212±138 min。结论:宜兴地区急性STEMI再灌注治疗率及急诊冠脉介入治疗率高于全国平均水平,影响急性STEMI患者再灌注治疗率主要为患者年龄、合并疾病及经济等原因。
出处 《泸州医学院学报》 2014年第5期516-518,共3页 Journal of Luzhou Medical College
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  • 1World Health Report 2002: Reducing risks, promoting healthy life. Geneva, World Health Organization, 2002.
  • 2陈灏珠,主编.实用内科学[M]第12版.北京:人民卫生出版社,2005.1 231-1 245.
  • 3Dalby M, Bouzamonda A,Lechat P, et al. Transfer for pri- mary angioplasty versus immediate thrombolysis in acute myocardial infarction: a meta analysis[J].Cirulation,2003, 108(15):1809-1814.
  • 4Sadanandan S,Buller CE,et al.The late open artery hy- pothesis-A decade later[J].Am Heart, 2001,142:411.
  • 5Canadian Cardiovascular Society, American Academy of Family Physicians, American College of Cardiology, et al. 2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation my- ocardial infarction: a report of the American college of cardiology/American heart association task force on prac- tice guidelines[J]. J Am CoU Cardiol,2008,51:210-247.
  • 6Danchin N,Coste P,Ferrieres J,et al.Comparison of throm- bolysis followed by broad use of percutaneous intervention with primary percutaneous coronary intervention for ST- Segment-Elevation acute myocardial infarction data from the french registry on acute ST-Elevation Myocardial in-farction(FAST-MI)[J].Circulation,2008,118:268-276.
  • 7杨艳敏,朱俊,谭慧琼,梁岩,章晏,李建东,刘力生,CREATE中国课题组.中国ST段抬高的急性心肌梗死临床特征及治疗现状[J].中华医学杂志,2005,85(31):2176-2182. 被引量:86
  • 8Ph.Gabriel Steg, Stefan KJames,Dan Atar,et a/,ESC Gu- idelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation[J]. Euro- pean Heart Journal,2012,33:2569-2619.
  • 9Barbagelate A, Perna ER, lemmensen P,et al. Time to reperfusion in acute myocardial infarction, it is time to re- duce it[J]. J Elecrocardial,2007,40:257-264.
  • 10Mc Namara RL,Herrin J,Bradley EH, et al. Hospital im- provement in time to reperfusion in patients with acute myocardial infarction,1999 to 2002 [J]J Am Coll Cardiol, 2006,47:45-51.

二级参考文献21

  • 1胡大一.我为什么倡导救治急性心肌梗死的绿色通道[J].前进论坛,2001(8):33-34. 被引量:23
  • 2谭慧琼,朱俊,梁岩,章晏,刘力生,代表OASIS登记试验中国地区协作组.非ST段抬高的急性冠状动脉综合征二年随访[J].中华医学杂志,2005,85(3):184-188. 被引量:12
  • 3陈韵岱,宋现涛,吕树铮,朱华刚,潘伟琦,宁尚秋,康铁朵.12小时内就诊的急性心肌梗死患者治疗现状分析[J].中国介入心脏病学杂志,2005,13(1):5-8. 被引量:67
  • 4梁岩,朱俊,谭慧琼,李建冬,刘力生,OASIS登记试验中国地区协作组.中国地区非ST抬高急性冠脉综合征患者生存时间的影响因素分析[J].中华医学杂志,2005,85(13):873-878. 被引量:18
  • 5谢苗生 于俊民 等.351例急性心肌梗塞急诊分析[J].中国急救医学,1999,19(3):167-167.
  • 6胡大一,张抒扬,史旭波.瑞替普酶在STEMI溶栓治疗的中国专家共识.心血管疾病防治指南和共识,2011.
  • 7霍勇,张岩.进一步提高我国急性心肌梗死的救治水平.心脏病学实践,2011:11-14.
  • 8Steg PG,Bonnefoy E, Chabaud S, et al. I Impact of time to treatment on mortality after prehospital fibrinolysis or primary angioplasty: data from the CAPTIM randomized clinical trial. Circulation, 2003, 108:2851-2856.
  • 9Dobrzycki S,Mezyfaski G, Kralisz P, et al. Is transport with platelet GP IIb/IIIa inhibition for primary percutaneous coronary intervention more efficient than on-site thrombolysis in patients with STEMI admitted to community hospitals? Randomised study. Early results. Kardiol-Pol, 2006, 64:793-799.
  • 10DiMarioC, Bolognese L, Maillard L, et al. Combined Abciximab REteplase Stent Study in acute myocardial infarction ( CARESS in AMI ). Am Heart J, 2004, 148:378-385.

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