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高龄急性心肌梗死患者介入与非介入治疗住院期间疗效的比较(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2004年第3期
页码:
255-257,260
栏目:
临床研究
出版日期:
2004-05-01

文章信息/Info

Title:
Comparison of in-hospital outcomes of invasive and non-invasive treatments in elderly patients with acute myocardial infarction
作者:
李毅1; 韩稚玲2; 康建2; 王效增2
1.第四军医大学西京医院心内科，陕西 西安 710032;2.沈阳军区总医院心内科，辽宁 沈阳 110016
Author(s):
LI Yi1; HAN Ya-ling2; KANG Jian2; WANG Xiao-zeng2
1. Department of Cardiology，Xijing Hospital，Fourth Military Medical University，Xi'an，Shaanxi 710032，China;2. Department of Cardiology，Shenyang Military Region General Hospital，Shenyang，Liaoning 110016，China
关键词:
心肌梗塞; 急性; 老年人; 血管成形术; 经皮; 经腔
Keywords:
myocardial infarction; acute; elderly; angioplasty;  percutaneous; transluminal
分类号:
R542.2
DOI:
-
文献标识码:
A
摘要:
目的:比较高龄急性心肌梗死(AMI)患者接受介人和非介人治疗住院期间的疗效。方法:AMI患者133例，其中76例于发病24h内行经皮冠状动脉介人治疗(PCD, 57 例行非介人治疗，分析两组的临床经过，比较住院期间不良心脏事件发生率。结果:介人组PCI病例成功率99%，病变成功率98%，手术相关并发症发生率为5%，术中无死亡病例，介人组住院病死率明显低于非介人组(11% vs 25%, P<0.05)，不良心脏事件发生率介人组亦明显低于非介人组(17% vs 44%,P
Abstract:
AIM:To compare the in-hospital outcomes of elderly patients with acute myocardial infarction (AMI) treated by invasive or non-invasive protocol. METHODS:133 consecutive patients hospitalized for AMI were registered，including 76 patients who underwent emergency percutaneous coronary intervention (PCI) within 24 h after the onset of AMI and 57 patients who received conservative non-invasive therapies. Clinical characteristics and in-hosptial adverse cardiac event rates of these two divisions were analyzed. RESULTS:In the invasive group，success rate of patients and lesions was 99% and 98% respectively,procedure related complication occurred in 4 cases (5%)，and no patient died during the operative procedures. Invasive group had a lower inhospital mortality(11% vs 25%，P<0.05) and total adverse cardiac event rates (17% vs 44%,P<0.01) compared with non-invasive group.There were no significant differences in the average hospitalized duration between the two groups. The CCU duration of the invasive group was shorter than that of the non-invasive group (4±5 d vs 8±6 d，P<0.01). CONCLUSION: In elderly AMI patients，invasive treatment can significantly decrease in-hospital mortality and adverse cardiac event rate compared with non-invasive treatment，thus gaining a better short-term outcome.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2003-8-5
更新日期/Last Update: 2004-05-01