CAJ | 학술논문

目的探讨急诊经皮冠状动脉介入治疗急性心肌梗死的临床疗效及安全性.方法 35例急性心肌梗死患者直接行冠脉造影术和梗死相关动脉介入治疗(急诊PCI组);39例急性心肌梗死患者行静脉溶栓(对照组)进行对比研究.结果急诊PCI组冠脉再通率高于对照组;平均住院天数、梗死后心绞痛、心源性休克发生率、总死亡率和室性心律失常发生率明显低于对照组(P<0.01).结论急性心肌梗死急诊冠脉介入治疗安全性高、死亡率低、血管再通率高、住院天数短,是一种有效的治疗方法.
목적 탐토급진경피관상동맥개입치료급성심기경사적림상료효급안전성.방법 35례급성심기경사환자직접행관맥조영술화경사상관동맥개입치료(급진PCI조);39례급성심기경사환자행정맥용전(대조조)진행대비연구.결과 급진PCI조관맥재통솔고우대조조;평균주원천수、경사후심교통、심원성휴극발생솔、총사망솔화실성심률실상발생솔명현저우대조조(P<0.01).결론 급성심기경사급진관맥개입치료안전성고、사망솔저、혈관재통솔고、주원천수단,시일충유효적치료방법.
Objective To discuss efficacy and safety of emergency percutaneous coronary interventional in treatment of acute myocardial infarction.Methods Thirty-five cases of acute myocardial infarction patients with direct coronary artery angiography and interventional treatment of infarct-related artery (emergency PCI group),and 39 cases were treated with thrombolysis (control group B). Results The coronary recanalization rate was higher in emergency PCI group (P<0.01); The average length of hospital stay,post-infarction angina pectons,the total mortality and the incidence of cardiogenic shock and ventricular arrhythmias were significantly lower in emergency PCI group than that in control group (P<0.01).Conclusion Treated with emergency intervention in acute myocardial infarction is safe and had higher vascular recanalization,lower mortality,shorter length of hospital stay.It is an effective treatment method of acute myocardial infarction.