罗张兴,白明,潘明,张博,慕仲元,孟晓雪,杨波,高涵翔,张钲

• 1:兰州大学第一医院心血管内科

摘要(Abstract)：

目的分析兰州大学第一医院近三年来急性ST段抬高心肌梗死(STEMI)患者的治疗现状及影响患者接受经皮冠状动脉介入(PCI)治疗的因素。方法回顾性分析2009年至2011年收治的1016名STEMI患者的临床诊治资料。结果 78.3%的患者发病到入院时间>12小时,其中97.6%未能进行急诊PCI。1016名患者中,17.9%的患者接受了急诊PCI治疗,68.8%的患者接受了择期PCI治疗,11.6%的患者仅接受了药物治疗,溶栓的患者仅占1.6%。年龄、合并糖尿病、职业及发病地点距医院的距离均是影响患者接受急诊PCI治疗的原因。结论患者就诊不及时和转运时间延误是导致STEMI患者不能及时血运重建的主要原因,在时间窗就诊的患者医生的因素是未行血运重建的关键因素。

关键词(KeyWords)： 心肌梗死;心肌再灌注;血管成形术,经腔,经皮冠状动脉

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 罗张兴,白明,潘明,张博,慕仲元,孟晓雪,杨波,高涵翔,张钲

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