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对16例急性心肌梗塞发病1.5～46h 病人施行了急诊经皮腔内冠状动脉成形术,其中6例置入冠脉内支架。结果:梗塞相关动脉全部开通,15例恢复正常血流,1例因不可逆性休克及反复室颤于术后3h 死亡,对存活的15例随访1～16个月无再梗塞、心力衰竭及死亡者。对急诊冠状动脉介入治疗的安全性、疗效及技术体会进行了讨论。
Emergency percutaneous transluminal coronary angioplasty was performed in 16 patients with acute myocardial infarction from 1.5 to 46 hours. Six of them were placed in coronary stents. Results: All the infarct-related arteries were opened, 15 cases returned to normal blood flow, 1 case died of irreversible shock and repeated ventricular fibrillation 3 hours after operation, and 15 cases were followed up for 1 to 16 months without re-infarction, heart failure and death By. The safety, efficacy and technical experience of emergency coronary intervention were discussed.