摘要
目的:探讨补救性经皮冠状动脉内支架植入术在急性心肌梗死(AMI)治疗中的应用。方法:对溶栓治疗失败后的24例AMI患者按常规方法施行冠状动脉造影,并进行补救性经皮冠状动脉内支架植入术。患者术前心功能Killip分级:Ⅰ-Ⅱ级21例,Ⅲ-Ⅳ级3例。结果:术后18例患者梗死相关动脉血流达Ⅲ级,4例达Ⅱ-Ⅲ级,残余狭窄≤50％。2例患者死亡;手术成功率90.3％。术中4例患者出现一过性无血流现象,经自体血液快速灌注后血流均迅速达到TIMI Ⅱ-Ⅲ级。结论:AMI患者溶栓治疗后临床判断IRA未再通者,尽早实施补救性冠状动脉内支架植入术,可取得较好的即刻和近期疗效。
Objective: To evaluate the role of rescue on acute myocardial infarction (AMI) with percutaneous coronary stent implantation after failed thrombolysis. Methods: Rescue coronary stent implantation was performed in 24 AMI patients after thrombolysis from Jan. 1998 to May 2000. The preoperative cardiac functional gradings of these patients were in Killip Ⅰ and Ⅱ (n = 21) and in Killip Ⅲ and Ⅳ (n = 3). Results: Two patients died after operation, so the procedual successful rate was 90.3% . The TIMI Ⅲ was achieved in 18 patients, TIMI Ⅱ to Ⅲ in 4 patients. During the operation, transient no reflow was seen in 4 patients, but the TIMIⅡ to Ⅲ was achieved after fast autoblood perfusion. Conclusion: Rescue coronary stent implantation after failed thrombolysis may be beneficial to the outcome of AMI patients.
出处
《天津医药》
CAS
北大核心
2001年第11期665-666,共2页
Tianjin Medical Journal
