摘要
目的总结PCI术后死亡患者的临床特点。方法回顾性分析8477例PCI术后随访出现的155例死亡患者的临床特点，临床事件的含义按照国际最新公认的学术研究协会的定义。结果155例死亡患者中，出院后平均随访死亡时间为18天～37个月。死亡发生在术中和住院期间30例（19．4％），其中急性心肌梗死（AMI）急诊PCI患者15例（50．0％）；死亡发生在出院至6个月33例（21．3％）；6个月后92例（59．4％）。死亡原因包括心源性105例（67．7％）、血管源性27例（17．4％）和非心血管源性23例（14．8％）。在心源性死亡中，AMI、猝死、操作相关的死亡和其他原因（心力衰竭和恶性心律失常）分别为47．6％、26．7％、5．7％和20．0％；在血管源性死亡中，脑血管疾病为主要原因，占51．9％。支架内血栓形成（ST）发生53例，占所有死亡患者的34．2％，主要为晚期ST（25例）和晚晚期ST（21例）。结论死亡是PCI术后少见的并发症，心源性死亡是主要原因。
Objective To summarize clinical characteristics of death cases after PCI procedure. Methods Consecutive 155 death cases after PCI in Fu Wai hospital were analyzed retrospectively. The clinical events were defined according to ARC definition. Results Among the ,155 death cases,the death time after discharge from hospital was 18 days-37 months. Thirty patients （19.4%） died during PCI procedure and hospitalization. Of them, 15 were acute myocardial infarction（AMI） patients undergoing emergency PCI. Thirty-three deaths （21. 30%） occurred between discharge from hospital and 6 months later; 92 deaths （59.4%） occurred after 6 months. The causes of death included cardiac （105 cases,67.7%）, vascular （27 cases, 17.4%） and non-cardiovascular （23 cases,14.8%） death. Among cardiac causes,AMI,sudden death, procedurerelated death and others （heart failure and fatal arrhythmia） accounted for 47.6%,26.7%,5.7% and 20.0% respectively. Among vascular causes, cerebrovascular disease was the main reason, and accounted for 51.9%. Fifty-three stent thrombosis （ST） were mainly late and very late ST （25 and 21 cases） and accounted for 34.2% of total death. Conclusion Death is a rare event after PCI procedure, cardiac death is the main cause.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2008年第12期905-907,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
