摘要
目的 观察急性冠脉综合症 (ACS)病人经皮冠状动脉或形术 (PTCA)或 (和 )支架置入术的安全性和有效性。方法 ACS病人不稳定型心绞痛 18例 ,急性Q波性心肌梗死 4例 ,非Q波心肌梗死 1例。病变血管 2 8支。单支病变 6例、双支病变 12例、三支病变 5例 ,分别行PTCA和 (或 )支架置入术 ,结果 成功 2 2例、失败 1例、成功病例血管TIMI均恢复为Ⅲ级。随后 2 -2 0个月 ,2例有心绞痛发作 ,但均能用药物控制。结论 PTCA或 (和 )支架置入术是ACS病人安全而有效的治疗方法 。
Objective To evaluate the efficiency and safety of percutaneous transluminal coronary angioplasty (PTCA) in acute coronary artery syndrome (ACS) . Methods PTCA or PTCA with coronary artery stent (CS) were performed in all patients , in which 18 patients with unstable angina pectoris, 4 patients with Q-wave myocardial infarction, 1 patient with non Q-wave myocardial infarction; and 6 patients with single-vessel coronary disease, 12 patients with double-vessel coronary diasease, 5 patients with triple-vessel coronary disease. Resaults PTCA were succeed in 22 patients , in which all of them were TIMI I flow. With follow-up 2-20 months , there were angina attack in 2 patients, which can be controlled by taking medicine.Conclusions PTCA+CS is a efficient and safety therapeutic maneuver in patients with ACS.
出处
《海南医学》
CAS
2002年第12期150-151,共2页
Hainan Medical Journal
