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1、基层医院开展急诊PCI可行性研究林道德1张腊喜1龙吴坚1陈泽江1王栋1高艳红11海南省文昌市人民医院心内科海南文昌571300林道德,男,55岁,本科,主任医师,主要从事心血管内科工作联系方式:TEL:13518870888E-mail:1093484034@qq.com基金项目:海南省自然科学基金项目(20168344)[摘要]目的:分析基层医院开展急性心肌梗死急诊经皮冠状动脉介入治疗(percutaneouscoronaryintervention,PCI)术可行性。方法:选择2016年1月至2017年12月在我院就诊并接受急诊PCI术患者50例(所有患者均为
2、急性ST段抬高型心肌梗死,简称STEMI),以同期我省某三甲医院急诊PCI80例为参照对象,比较两组急诊PCI术患者的手术成功率、门球时间、穿刺时间、住院期间死亡率、手术并发症、患者30天严重心血管事件(再次心肌梗死、死亡、脑卒中等)等相关指标。结果:对照组与病例组患者穿刺时间、经桡动脉手术路径比例、手术成功率、住院期间死亡率、临时起搏器植入比、IABP植入比例、30天心血管事件、急诊PCI干预病变部位LM、LCX部位,两组之间统计学上无统计学差异(P>0.05)。两组门球时间、对照组与病例组在LAD部位、RCA部位、手术并发症、造影剂使用剂量,两组之间统计学上具
3、有显著差异性(P<0.05);对照组与病例组在手术并发症亚组分析:穿刺相关并发症别为2例(50%),8例(72.7%),两组之间统计学上具有显著差异性(P<0.05)。结论:基层医院开展急诊PCI术是安全可行的,但是需要不断提高手术医师心电图分析能力及手术技巧,提高术后患者护理质量,急诊PCI术值得在基层医院推广。[关键词]急诊PCI;STEMI;急性心肌梗死AnalysisofthefeasibilityofemergencyPCIlaunchedatbasic-levelhospitalDaodeLin,DongWang,YanhongGao,WujianLo
4、ng,ZejiangChen,LaxiZhangDepartmentofCardiology,People’sHospitalofWenchangCity,Wenchang,Hainan,571300Abouttheauthor:DaodeLin,male,bornin1963,isanundergraduate.Heisachiefphysicianwithhisresearchdirectiononcardiovascularmedicine.Tel:13518870888E-mail:1093484034@qq.comFoundationProject:Th
5、estudywassupportedbyHainanNaturalScienceFundswiththenumberof20168344.Abstract:Objective:Toanalyzethefeasibilityofemergencypercutaneouscoronaryintervention(PCI)atthebasic-levelhospitalforpatientswithacutemyocardialinfarction.Methods:50patientswithacuteST-segmentelevationmyocardialinfar
6、ction(STEMI)fromJanuary,2016toDecember,2017wereassignedtothecasegroup,asthesametime80casesinGradeIIIAhospitalofHainanprovinceweredistributedtothecontrolgroup.Theoperationsuccesstime,door-to-balloontime,puncturationtime,deathrateduringhospitalization,operationcomplications,and30-daysev
7、erecardiovascularevents(recurrentmyocardialinfarction,death,andcerebralstroke)inthetwogroupswerecompared.Results:Therewasnosignificantdifferenceofthepuncturationtime,thepatientsforPCIviatheradialartery,theoperationsuccessrate,deathrateduringhospitalization,temporarypacemakerimplantati
8、onrat