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血栓抽吸术在急性ST段抬高型心肌梗死冠脉介入治疗中的应用 被引量:2

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摘要 目的探讨血栓抽吸术在急性ST段抬高型心肌梗死(STEMI)患者的急诊冠脉介入治疗中应用的疗效。方法选择2012年1月至2014年12月我市多个医院的60例STEMI患者,其中30例在急诊冠脉介入治疗时首先予以血栓抽吸,然后据血管狭窄程度决定是否予以支架植入为观察组,其余30例直接予以冠脉支架植入,为对照组。对比两组术后情况。结果观察组在术后无复流或慢血流率明显较低,ST段回落率较高,心肌坏死标志物峰值较低,且有显著差异(P<0.05);而随访6个月观察组出现心衰、再发心肌梗死、猝死等主要心血管事件的比率亦较对照组低,有显著差异(P<0.05)。结论在STEMI患者的急诊冠脉介入治疗中,血栓抽吸术安全可行,可改善心肌灌注及预后,值得临床推广。
出处 《齐齐哈尔医学院学报》 2015年第34期5230-5231,共2页 Journal of Qiqihar Medical University
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