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急性心肌梗死经桡动脉入径冠状动脉介入治疗的临床疗效观察 被引量：7

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摘要 目的:经桡动脉入径冠状动脉介入(PCI)治疗急性心肌梗死(AMI)临床疗效。方法:对146例AMI患者行急诊PCI治疗,其中经桡动脉途径64例,股动脉途径82例。结果:血管穿刺时间桡动脉组为(3.8±1.5)min,股动脉组为(3.6±1.1)min(P>0.05)。心肌获得再灌注时间桡动脉组为(38±16)min,股动脉组为(36±14)min(P>0.05)。建立动脉通路时间和整个手术时间两组比较差异无统计学意义(P>0.05)。出血并发症经桡动脉PCI组为0例,经股动脉PCI组6例(7.31%),两组比较差异有统计学意义(P<0.05)。另有桡动脉组中3例因血管扭曲或痉挛严重,指引导管不易到位改行股动脉途径,已归入股动脉组。桡动脉组住院时间明显短于股动脉组(P<0.05)。结论:对血流动力学稳定的AMI患者,在充分掌握经桡动脉PCI技术的前提下,两种入径的急诊PCI治疗时程和效果相似。但桡动脉PCI组出血并发症少,有利于有效安全的抗凝治疗,且住院时间明显缩短。因此,经桡动脉入径可作为AMI可选择的血管途径之一。
作者 丁嘉宝 潘杰锋 崔腾斌
机构地区 新疆兵团农二师医院心内科
出处 《吉林医学》 CAS 2011年第3期443-444,共2页 Jilin Medical Journal
关键词 急性心肌梗死 桡动脉 经皮冠状动脉介入
分类号 R542.22 [医药卫生—心血管疾病]
  • 相关文献

参考文献6

二级参考文献15

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共引文献106

同被引文献46

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引证文献7

二级引证文献14

吉林医学
2011年 第3期

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