[1]林捷,邱建平,陆纪德,等.急性ST段抬高心肌梗死不同时间窗经皮冠状动脉介入疗效比较[J].介入放射学杂志,2008,(06):389.
　LIN Jie,QIU Jianping,LU Jide,et al.Impact of different treatment times on prognosis of primary percutaneous coronary intervention for acute myocardial infarction[J].journal interventional radiology,2008,(06):389.
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急性ST段抬高心肌梗死不同时间窗经皮冠状动脉介入疗效比较()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年06期
页码:
389
栏目:
心脏介入
出版日期:
2008-06-15

文章信息/Info

Title:
Impact of different treatment times on prognosis of primary percutaneous coronary intervention for acute myocardial infarction
作者:
林捷; 邱建平; 陆纪德; 等
２００１３５上海市浦东新区公利医院心内科（林捷、邱建平、陆纪德、葛智儒、龚佩华、王海容、窦桂珍）；上海交通大学医学院附属瑞金医院心脏科（沈卫峰、张奇）
Author(s):
LIN Jie; QIU Jian－ping; LU Ji－de; GE Zhi－ru; GONG Pei－hua; WAGN Hai－rong; DOU Gui－zhen; SHEN Wei－feng; ZHANG Qi．
Department of Cardiology，Shanghai Pudong Gongli Hospital，Shanghai２００１３５，China
关键词:
急性心肌梗死; 直接经皮冠状动脉介入治疗; 预后
分类号:
R５４１.１
文献标志码:
A
摘要:
目的评价急性ST段抬高心肌梗死（STEMI ）患者直接经皮冠状动脉介入治疗（PCI ）时间延迟与预后的关系。方法选择２００４年１月至２００６年９月确诊STEMI 且行急诊PCI 的患者１５３例，根据症状发生至第１次球囊扩张间隔时间分为２组：A组１１２例，６h内；B组４１例，６～１２h。记录PCI 后ST段回落＞７０％的梗死相关导联数，住院期和１年随访的左室射血分数、心脏主要不良事件。结果A组PCI 后ST段回落＞７０％的梗死相关导联数显著高于B组（P＜０．０５），与B组比较，A组随访期间左室射血分数增高，心脏主要不良事件发生率显著降低（P＜０．０５）。结论STEMI 后６h内行直接PCI 能改善心肌灌注、促进左室功能恢复，显著降低总心脏主要不良事件的发生率。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期：２００８－０１－３１
更新日期/Last Update: 2008-06-15