摘要
目的:观察分析急性心肌梗死(AMI)后延迟冠脉造影见梗死相关动脉(IRA)病变情况。方法:562例AMI发病后24h～3月内行冠脉造影术。结果:562例AMI明确IRA共559支,有4例IRA不能判定。呈闭塞状态198(35.17%)支,次全闭塞及严重狭窄病变24(443.34%)支,其中有8例血流为TIMI0～1级,未达功能再通。临界狭窄83(14.74%)支,无明显狭窄3(86.75%)支,其中冠脉正常6例。结论:AMI后无论是否接受静脉溶栓治疗,大部分IRA呈闭塞或次全闭塞及严重狭窄,应及早行冠脉造影,以了解IRA情况,及时行血运重建治疗。
Objective： To observe infarction related artery （IRA） lesion of patients with acute myocardial infarction in delay coronary angiography. Methods： A total of 562 patients with acute myocardial infarction underwent coronary angiography 24 h to 3 months after onset. Results： In all patients, IRA were ascerntained in 559 cases,but, IRA of 4 patients with inferior myocardial infarction couldn＇t be ascerntained.In All of IRA,total occlusion were seen in 198 cases,Sub-total occlusion and severe stenosis in 244 cases,light stenosis in 83 cases, no stenosis in 38 cases. Conclusion： Regardless of thrombolysis or not,most of IRA are occlusion,sub-total occlusion and severe stenosis.For making clear coronary artery lesion,and recanalization in time, it is important that coronary angiography should be undertaken as early as possible.
出处
《天津医科大学学报》
2006年第1期73-75,共3页
Journal of Tianjin Medical University
关键词
急性心肌梗死
冠状动脉
梗死相关动脉
造影
Acute myocardial infarction
Coronary artery
Infarction related artery
