急性心肌梗死385例治疗状况及影响因素分析
宋晓健,王敬萍,安健,王仲朝,杨滨,李保
摘要(Abstract):
<正>急性ST段抬高心肌梗死(STEMI)因其病死率、致残率及并发症发生率高,已成为全球范围内重大公共卫生问题。据不完全统计,我国每年约54万人死于心肌梗死,因其失去劳动能力者更多。发病早期及时开通梗死相关动脉是挽救生命、降低再梗死率、减少心肌再缺血事件的关键[1-2]。早期急诊经皮冠状动脉介入治疗(PCI)再通成功率高,并发症
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基金项目(Foundation):
作者(Author): 宋晓健,王敬萍,安健,王仲朝,杨滨,李保
参考文献(References):
- [1]Poloński L,Gasior M,Wasilewski J,et al.Outcomes of primary coronary angioplasty and angioplasty after initial thrombolysis in the treatment of 374 consecutive patients with acute myocardial infarction.Am Heart J,2003,145:855-861.
- [2]Hong YJ,Jeong MH,Lee SH,et al.The long-term clinical outcomes after rescue percutaneous coronary intervention in patients with acute myocardial infarction.J Interv Cardiol,2003,16:209-216.
- [3]Van De Werf F,Baim DS.Reperfusion for ST-segment elevation myocardial infarction:an overview of current treatment options.Circulation,2002,105:2813-2816.
- [4]Antman EM,Hand M,Armstrong PW,et al.2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.J Am Coll Cardiol,2008,51:210-247.
- [5]Pipilis A,Andrikopoulos G,Lekakis J,et al.Temporal and spatial distribution of ST-elevation myocardial infarction admissions in a countrywide registry.Int J Cardiol,2010,142:172-176.
- [6]Aguirre FV,Varghese JJ,Kelley MP,et al.Rural interhospital transfer of ST-elevation myocardial infarction patients for percutaneous coronary revascularization:the Stat Heart Program.Circulation,2008,117:1145-1152.
- [7]Zhang Q,Zhang RY,Qiu JP,et al.Prospective multicenter randomized trial comparing physician versus patient transfer for primary percutaneous coronary intervention in acute ST-segment elevation myocardial infarction.Chin Med J(Engl),2008,121:485-491.
- [8]Keeley EC,Grines CL.Primary percutaneous coronary intervention for every patient with ST-segment elevation myocardial infarction:what stands in the way?Ann Intern Med,2004,141:298-304.
- [9]Jacobs AK.Regionalized care for patients with ST-elevation myocardial infarction:it's closer than you think.Circulation,2006,113:1159-1161.