摘要
目的探讨AMI紧急和延迟血运重建对患者近期和远期的疗效,证明延迟血运重建对患者远期的益处,从而使那些失去最佳PTCA时期的患者进行延迟血运重建,以改善预后.方法选择有典型的临床表现、心电图改变、血清心肌酶升高和冠状动脉造影证实梗塞相关血管闭塞、TIMI血流0级的AMI患者进行PTCA和Stent术治疗.根据入选时间分为AMI紧急和延迟血运重建,评价其即刻和远期的疗效.结果 CAG证明其远期TIMI血流均达到3级,心电图及症状改善,远期随访指标改善显著.结论 AMI发病至血运重建的时间在6 h之内最好,延迟血运重建对患者改善预后有益.
ObjectiveTo investigate the effects of the urgent and delayed revascularization intervention operation in patients with acute myocardial infarction among short term and long term, the patients who lost the best interventional treatment period can improve their prognosis, showing the benefit of the delayed revascularization in long-term.MethodsPTCA and stent implantation were operated in patiens with typical clinical symptoms, electrocardiogram change, serious myocardioenzyme increase, and with utterly obstructive related artery whose TIMI was grade zero by cardial angiography. The patients were divided into acute and delayed revascularization groups. According to optional time, immediate and long-term effects was estimated.ResultsThe angiographies showed that the patients' blood flow of coronaries reached TIMI grade Ⅲ in long-term prognosis. Follow-up indexes were improved significantly such as electrocardiogram and symptoms.ConclusionIt was during six hours that acute revascularization were operated in patients with AMI, delayed revascularization was beneficial to the patients of prognosis.
出处
《北华大学学报（自然科学版）》
CAS
2003年第6期487-489,共3页
Journal of Beihua University（Natural Science）
基金
吉林省教育厅科研基金项目(吉教合字9851)
关键词
AMI
血运重建
疗效
AMI
Revascularization
Therapeutic evaluation
