中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2015年
7期
611-613
,共3页
周新浪%黄伟剑%徐玮玮%单陪仁
週新浪%黃偉劍%徐瑋瑋%單陪仁
주신랑%황위검%서위위%단배인
急性ST段抬高型心肌梗死%经皮冠状动脉血管成形术%血栓抽吸%冠状动脉造影定量分析
急性ST段抬高型心肌梗死%經皮冠狀動脈血管成形術%血栓抽吸%冠狀動脈造影定量分析
급성ST단태고형심기경사%경피관상동맥혈관성형술%혈전추흡%관상동맥조영정량분석
Acute ST segment elevation myocardial infarction%Percutaneous coronary angioplasty%Thrombectomy%Quantitative coronary angiography
目的 急性ST段抬高型心肌梗死(STEMI)急诊经皮冠状动脉介入(PCI)术中行血栓抽吸术,评价冠状动脉造影定量分析(QCA)方法测量罪犯血管固定狭窄的价值.方法 选择2012年9月1日至2013年10月31日在温州医科大学附属第一医院接受急诊PCI术加血栓抽吸治疗的STEMI患者164例,使用QCA法测量血栓抽吸术后的罪犯血管固定狭窄率.结果 血管狭窄率＞50％男性占69.5％,血管狭窄率＞70％女性占40.2％;前降支固定狭窄率为(54.75±29.72)％,回旋支为(55.25±32.23)％,右冠状动脉为(56.40±29.76)％,3支血管固定狭窄率比较差异无统计学意义(F值分别为6.036、0.955、0.055,P均＞0.05).结论 绝大多数的急性STEMI患者存在严重的血管狭窄.
目的 急性ST段抬高型心肌梗死(STEMI)急診經皮冠狀動脈介入(PCI)術中行血栓抽吸術,評價冠狀動脈造影定量分析(QCA)方法測量罪犯血管固定狹窄的價值.方法 選擇2012年9月1日至2013年10月31日在溫州醫科大學附屬第一醫院接受急診PCI術加血栓抽吸治療的STEMI患者164例,使用QCA法測量血栓抽吸術後的罪犯血管固定狹窄率.結果 血管狹窄率＞50％男性佔69.5％,血管狹窄率＞70％女性佔40.2％;前降支固定狹窄率為(54.75±29.72)％,迴鏇支為(55.25±32.23)％,右冠狀動脈為(56.40±29.76)％,3支血管固定狹窄率比較差異無統計學意義(F值分彆為6.036、0.955、0.055,P均＞0.05).結論 絕大多數的急性STEMI患者存在嚴重的血管狹窄.
목적 급성ST단태고형심기경사(STEMI)급진경피관상동맥개입(PCI)술중행혈전추흡술,평개관상동맥조영정량분석(QCA)방법측량죄범혈관고정협착적개치.방법 선택2012년9월1일지2013년10월31일재온주의과대학부속제일의원접수급진PCI술가혈전추흡치료적STEMI환자164례,사용QCA법측량혈전추흡술후적죄범혈관고정협착솔.결과 혈관협착솔＞50％남성점69.5％,혈관협착솔＞70％녀성점40.2％;전강지고정협착솔위(54.75±29.72)％,회선지위(55.25±32.23)％,우관상동맥위(56.40±29.76)％,3지혈관고정협착솔비교차이무통계학의의(F치분별위6.036、0.955、0.055,P균＞0.05).결론 절대다수적급성STEMI환자존재엄중적혈관협착.
Objective To evaluate quantitative coronary angiography (QCA) measurement of culprit vessel fixed stenosis in acute ST segment elevation myocardial infarction (STEMI) emergency interventional thrombus aspiration.Methods One hundred and sixty-fore cases of STEMI patients accepting emergency interventional operation and thrombus aspiration treatment were choosed from September 2012 to October 2013 in the First Affiliated Hospital of Wenzhou Medical University.Thrombus Aspiration measuring vessel was carried after criminals using fixed stenosis rate QCA methods.Results The vascular stenosis rate was more than 50％ in 69.5％ of the male patients,vascular stenosis rate was more than 70％ in 40.2％ of the female patients,the anterior descending branch of the rami anterior descendens(LAD) (54.75％ ± 29.72％,n=76),Left circumflex artery (LCX) (55.25％ ± 32.23％,n =20),arteriae coronaria dextra (RCA) (56.40％ ± 29.76％,n =68).There was no difference between LAD,LCX and RCA (F=6.036,0.955,0.055;P＞0.05).Conclusion The most majority of serious vascular stenosis patients have acute STEMI.
