刘文丽

【摘要】目的：探析急诊介入治疗左主干急性病变所致急性心肌梗死的效果观察。方法：选取我院2017年7月-2019年7月收治的左主干急性病變所致急性心肌梗死患者作为本次主要研究对象，共计30例。对所有研究对象的病例进行回顾性分析，将死亡的15例患者分到死亡组，剩余存活的患者分到存活组。通过观察对比两组患者的临床特点，同时对存活组患者的不良心血管情况进行研究。结果：经过对患者病例情况分析得知，其中有部分患者接收PCI支架置入收入，共计14例，而且14例患者中有4例患者治疗后死亡。两组患者的无侧支循环比例相比，存活组明显低于死亡组，两组之间存在较大的区别，具有统计学意义（P<0.05）。结论：本次研究表明，对于左主干急性病变所致急性心肌梗死患者实施急诊介入治疗更高有效的提高患者的存活率，具有良好的应用推广价值。

【关键词】左主干急性病变;急性心肌梗死;急诊介入;治疗效果

[Abstract]

Objective：To explore the effect of emergency interventional therapy on acute myocardial infarction caused by acute left main disease. Methods：30 patients with acute myocardial infarction （AMI） caused by acute lesions of left main trunk admitted to our hospital from July 2017 to July 2019 were selected as the main subjects of this study. A retrospective analysis was made on all the cases studied. Fifteen patients who died were divided into the death group and the remaining survivors into the survival group. By observing and comparing the clinical characteristics of the two groups， the adverse cardiovascular conditions of the survival group were studied. Result：According to the case analysis， some patients received the income of PCI stent implantation， a total of 14 cases， and 4 of 14 patients died after treatment. The proportion of patients without collateral circulation in survival group was significantly lower than that in death group， and there was a significant difference between the two groups （P < 0.05）. Conclusion：This study shows that emergency interventional therapy for acute myocardial infarction caused by acute left main lesions is more effective in improving the survival rate of patients， and has good application value.

[Key words] left main acute lesion; acute myocardial infarction; emergency intervention; therapeutic effect

【中图分类号】R542.2

【文献标识码】A

【文章编号】2095-6851（2020）02-247-02

1 资料与方法

1.1 一般资料

选取我院2017年7月-2019年7月收治的左主干急性病变所致急性心肌梗死患者30例作为本次主要研究对象。根据患者是否死亡，将其分到存活组和死亡组，其中死亡组中有15例，存活组中15例。所有患者中男性患者18例，女性患者12例，年龄介于64-85岁之间，平均年龄为（72.3±6.5）岁。其中有12例患有前壁心肌梗死，8例急性非ST段抬高心肌梗死;合并心源性休克患者10例。

1.2 方法

对所有的患者均采用PCI和急诊冠状动脉造影进行治疗。在患者入院之后，需要对知情同意进行签署，之后对这些患者开通“绿色通道”并实施PIC或急诊冠状动脉造影干预。在患者接受手术治疗之前，需要对300mg阿司匹林进行服用，同时还要服用300-600mg的氯吡格雷和500mg噻氯匹定。……