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急诊pci     
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  emergency pci
     Results~The total success rate of PCI procedure was 98.1 % (4579/ 4670) for all patients, and the patency rate of infarction related artery of emergency PCI was 98.2 % (825/840) in the patients with AMI onset within ~24 h.
     结果PCI总的病例成功率为98.1%(4579/4670),AMI行急诊PCI者梗死相关动脉开通率98.2%(825/840)。
短句来源
     40 patients (86.96%) could endure whole emergency PCI process, the total death rate was 10.87%.
     40例患者(86.96%)能够耐受急诊PCI治疗全过程,总死亡率10.87%;
短句来源
     Comparing emergency PCI group,significantly higher plasma AOPP also existed in the selective PCI group(P<0.01).
     AMI择期PCI组各时间点AOPP浓度较AMI急诊PCI组高(P<0.01)。
短句来源
     Compared with normal group(non-CAD),significantly higher plasma AOPP were detected in the patients with AMI(including selective PCI and emergency PCI group)& UA(P<0.05).
     AMI择期PCI组、AMI急诊PCI组及UA组与非冠心病组比较,各时间点AOPP浓度明显升高(P<0.05);
短句来源
     Methods In 22 AMI patients and 8 healthy men,plasma IL-1β,IL-6 and IL-10 were measured by ELISA before emergency PCI,12 h and 24 h post-intervention. Amplitudes of changes in plasma IL-1β,IL-6 and IL-10 were compared.
     方法采用酶联免疫吸附法测定8例健康人(健康对照组)和22例AMI患者急诊经皮冠状动脉介入治疗(急诊PCI组)术前即刻、术后12、24 h,血浆IL-1βI、L-6、IL-10的变化,比较致炎细胞因子IL-1βI、L-6和抗炎细胞因子IL-10的变化幅度。
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  primary pci
     Results The success rate of primary PCI in patients with AMI treated as 98.87% and the fatality rate was 4.68%.
     结果AMI急诊PCI成功率为98.87%,住院死亡率为4.68%。
短句来源
     Thrombus area of primary PCI group was larger than those of thrombolysis and delayed PCI groups [( 8.9 ± 3.7 )mm 2 vs ( 6.1 ± 3.6 )mm 2, ( 6.3 ± 3.2 )mm 2,P< 0.05 ].
     最狭窄段血栓面积分别为 (8.9± 3 .7)mm2 、(6.1± 3 .6)mm2 、(6.3± 3 .2 )mm2 ,急诊PCI组与另两组差异有显著性意义 (P <0 .0 5 ) ;
短句来源
     The ratio of thrombus area to minimum lumen area in primary PCI was higher than those in thrombolysis and delayed PCI groups( 4.9 ± 3.3 vs 2.7 ± 2.4 , 3.1 ± 2.7 ,P< 0.05 ).
     血栓面积与最小腔面积比值分别为 4.9± 3 .3、2 .7± 2 .4、3 .1± 2 .7,急诊PCI组与另两组差异有显著性意义 (P <0 .0 5 ) ;
短句来源
     Results Only 18 patients (15%) had TIMI 3 flow before primary PCI and hyperglycemia was observed in 87 patients (72.5%).
     结果在接受急诊PCI术前仅有18例(15%)患者冠状动脉造影血流达到TIMI3级,高血糖症患者87例(72·5%)。
短句来源
     Thrombus stenosis of primary PCI group was higher than that of thrombolysis group[( 45.8 ± 12.3 )% vs ( 38.4 ± 11.2 )%,P< 0.05 ]. No obvious difference existed between thrombolysis and delayed PCI groups[( 38.4 ± 11.2 )% vs ( 40.8 ± 12.3 )%,P> 0.05 )].
     血栓所致面积狭窄分别为 (4 5 .8± 12 .3 ) %、(3 8.4± 11.2 ) %、(4 0 .8± 12 .3 ) % ,急诊PCI组较溶栓组狭窄更重 (P <0 .0 5 ) ,但溶栓组与延期PCI组差别不大 ;
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  emergent pci
     Methods: One hundred and seventy nine consecutive STEMI patients who underwent emergent PCI were divided into two groups according to the WBC count: group A(n= 69,WBC ≤10×109/L),group B(n=110,WBC>10×109/L).
     方法:行急诊PCI的STEMI患者179例,按急诊PCI前WBC水平分为2组:≤10×109/L为A组(n=69),>10×109/L为B组(n=110)。
短句来源
     Results Emergent PCI was performed successfully on 62 patients (93.9%).
     结果 急诊PCI成功62例 ,成功率为93.93%。
短句来源
     Result: The in-hospital mortality was less in the QRS+ patients received emergent PCI(EPQRS+) than that of the QRS+ patients who did not receive PCI(NPQRS+)(P< 0.05).
     结果 :急诊PCI的QRS +患者住院期间死亡率明显低于非PCI的QRS+患者 (P <0 .0 5 ) ;
短句来源
     Methods Emergent PCI was performed on 66 patients with AMI and intracoronary stenting was implanted in 59 patients.
     方法 66例AMI患者接受急诊PCI术 ,其中59例同时植入冠状动脉内支架。
短句来源
     Use of aspiration catheter during emergent PCI: case report
     急诊PCI时应用抽吸导管1例
短句来源
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  urgent pci
     Result: We did urgent CAG for 44 cases (male were 34cases, female were 10 cases) of AMI, the age of these patients were 60.1±11.3. We did urgent PCI for 43 cases, the coronary flow of IRA reaching TIMI3 occupied 90.9%.
     结果 :入选急性心肌梗死患者 4 4例行急诊冠状动脉造影 ,男 34例 ,女 10例 ,年龄 (6 0 .1± 11.3岁 )。 行急诊PCI的有 4 3例 ,IRA前向血流达到TIMI3级为 90 .9%。
短句来源
     Methods: A total of 52 patients with acute coronary syndrome were brought into the study, in which 16 patients underwent urgent PCI, 16 patients underwent delayed PCI, 20 patients accepted pharmacological therapy.
     方法:本研究52例急性冠脉综合征中16例接受急诊PCI治疗,16例接受择期PCI治疗,20例接受药物治疗。
短句来源
     Objective: To explore the treating method of urgent PCI for AMI, through analyzing the method of PCI for AMI.
     目的 :通过分析急诊经皮冠状动脉介入治疗 (PCI)对急性心肌梗死的急诊介入治疗方法 ,探讨急诊PCI对急性心肌梗塞的治疗策略。
短句来源
     Methods:Seventy-three AMI patients underwent urgent PCI. The baseline clinical characterisstics and coronary artery lesions were analyzed and major cardiovascular events(MCVE)were followed-up during period of 1~12 months.
     方法:75例AMI 患者在发病12小时内接受冠状动脉造影,并对73例的梗死相关动脉行急诊PCI,随访1~12个月主要心血管事件发生情况。
短句来源
     Conclusions Urgent PCI under IABP saving life of the patients with lesion of LMT and improve the prognosis outcome
     结论IABP支持下急诊PCI治疗可以挽救部分患者的生命和改善预后。
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  emergency pci
In patients undergoing emergency PCI, no protocol-defined pre-hydration could be given.
      
Patients and coronary angioplasty procedure Patients scheduled for elective or emergency PCI were included in this study.
      
The non-pharmacologic alternative for the treatment of acute ST-segment elevation MI is emergency PCI without thrombolytic therapy.
      
  primary pci
This recommendation is based on several prospective randomized trials, which document a benefit of primary PCI over lytic therapy for several clinical endpoints.
      
The effects of facilitated primary PCI by guide wire on procedural and clinical outcomes in acute ST-segment elevation myocardia
      
However, with significant improvements in the procedural success of PCI, there has been a concomitant reduction in the need for emergency bypass surgery and there is evidence to support primary PCI without on-site cardiac surgical facilities.
      
Others have proposed immediate transfer to a suitable hospital for immediate primary PCI.
      
An alternative treatment strategy is facilitated PCI, which might combine the early benefits of thrombolysis with the higher patency rates and superior clinical outcomes of primary PCI, although this remains unproven.
      
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  urgent pci
Patients who require transfer for an urgent PCI can be managed safely and efficaciously by initiating a GP IIb/IIIa inhibitor, in addition to standard medical therapy, prior to transfer.
      
  其他


Objective:To qualitatively and quantitatively invastigate characteristics of coronary athrosclerotic lesions in acute myocardial infarction(AMI)patients by intracoronary ultrasound(ICUS). We sought to establish two new concepts ,ie. infarction related lesion(IRL) and small plaque, by ICUS.Methods:Sixty nine of 86 concecutive AMI patients(pts) were divided into two groups, ie. primary PCI group(29 pts), delayed PCI group(40 pts)and detected by ICUS prior to PCI.Coronary plaques in IRL were classified according...

Objective:To qualitatively and quantitatively invastigate characteristics of coronary athrosclerotic lesions in acute myocardial infarction(AMI)patients by intracoronary ultrasound(ICUS). We sought to establish two new concepts ,ie. infarction related lesion(IRL) and small plaque, by ICUS.Methods:Sixty nine of 86 concecutive AMI patients(pts) were divided into two groups, ie. primary PCI group(29 pts), delayed PCI group(40 pts)and detected by ICUS prior to PCI.Coronary plaques in IRL were classified according to criterion of American Heart Association(AHA). Results:Incidence of multivessel lesions and occlusion of infarction related arteries(IRA) were higher in primary PCI pts than those in delayed PCI pts by coronary artery angiography(CAG). When scanning IRA with ICUS,the IRL was firstly suggested. IRL was composed of atherosclerotic lesion and thrombus in IRA(based on CAG).There were no obvious difference of plaque surrounding area, minimum lumen area, vessel area, plaque stenosis,maximum lumen stenosis and incidence of plaque rupture and thrombus in IRLs between two groups.Combined statistics showed the small plaque(plaque stenosis <50%)was the main atherosclerotic lesion in IRL and its incidence was 73 9%(51 pts). The plaque appeared eccentric in 54 of 69 pts(78 3%). Soft plaques(including Ⅲ-Ⅴ stage lesion)were more common than hard ones(including Va and Vb stage lesion)(86 2% vs 17 4%).Fibro-fatty plaques with focal calcification,ie. Va+Vb stage lesion, were in 31 in 69 pts(44 9% to total atherosclerotic lesion incidence).Conclusions:Small plaques in IRL of AMI pts were predominant and mainly appeared eccentric and soft.The Va+Vb stage lesion of the AHA classification is the most unstable plaque leading to AMI.

目的 :本研究应用血管内超声 (intracoronary ultrasound,ICUS)定性定量评价急性心肌梗塞(AMI)患者冠脉粥样病变的大小、性质 ,建立梗塞相关病灶 (IRL:Infarction related lesion)和小斑块的概念。方法 :86例 AMI患者 (男 75例 ,女 11例 ) ,平均年龄 (5 6± 10 )岁 ,于经皮冠脉内介入 (PCI)前对其中 6 9例患者行 ICUS检测 ,患者分两组 :急诊 PCI组 (2 9例 ) ,延期 PCI组 (40例 ) ,对照 AHA斑块分期标准 ,对 IRL的粥样病变进行相应分期。结果 :冠脉造影显示急诊 PCI组与冠脉多支病变发生率及梗塞相关冠脉闭塞率高于延期冠脉 PCI组 ;ICUS在检测梗塞相关冠脉时 ,建立了 IRL的概念 ,IRL主要由粥样病变和血栓组成 ,两组患者 IRL中斑块包绕面积 ,最小腔面积 ,血管面积 ,斑块所致面积狭窄及最大面积狭窄间无明显差别 ,合并后显示 ,面积狭窄 <5 0 %的斑块 (小斑块 )发病率 73.9% ,是主要致病斑块 ;斑块以偏心分布为主 ,占 78.3% ,向心斑 2 1.7% ;软斑...

目的 :本研究应用血管内超声 (intracoronary ultrasound,ICUS)定性定量评价急性心肌梗塞(AMI)患者冠脉粥样病变的大小、性质 ,建立梗塞相关病灶 (IRL:Infarction related lesion)和小斑块的概念。方法 :86例 AMI患者 (男 75例 ,女 11例 ) ,平均年龄 (5 6± 10 )岁 ,于经皮冠脉内介入 (PCI)前对其中 6 9例患者行 ICUS检测 ,患者分两组 :急诊 PCI组 (2 9例 ) ,延期 PCI组 (40例 ) ,对照 AHA斑块分期标准 ,对 IRL的粥样病变进行相应分期。结果 :冠脉造影显示急诊 PCI组与冠脉多支病变发生率及梗塞相关冠脉闭塞率高于延期冠脉 PCI组 ;ICUS在检测梗塞相关冠脉时 ,建立了 IRL的概念 ,IRL主要由粥样病变和血栓组成 ,两组患者 IRL中斑块包绕面积 ,最小腔面积 ,血管面积 ,斑块所致面积狭窄及最大面积狭窄间无明显差别 ,合并后显示 ,面积狭窄 <5 0 %的斑块 (小斑块 )发病率 73.9% ,是主要致病斑块 ;斑块以偏心分布为主 ,占 78.3% ,向心斑 2 1.7% ;软斑块发生率 86 .2 % ,硬斑块为 7.4 % ,软斑块中 ,以含局部钙化灶的纤维脂斑 (Va+Vb期病变 )发生率最高 ,占总发病率的 4 4 .9% (31例 )。结论 :AMI时 ,IRL粥样病变以较小斑块为主 ,斑块性质为偏心性软斑 ,其中 Va+Vb期病变是导致 AMI的最危险斑块

Objective To analyze the trend of the development of percutaneous coronary intervention (PCI) in China from 1999 to 2001 Methods The data of PCI performed from 1999 to 2001 were collected by filling in registry forms and were analyzed retrospectively Results Thirty six thousands and ninety eight cases of PCI from 112 hospitals nationwide were enrolled in the registry, including 8 000 cases in 1999, 11 753 cases in 2000 and 16 345 cases in 2001 The annual case numbers increased by around 40% over the...

Objective To analyze the trend of the development of percutaneous coronary intervention (PCI) in China from 1999 to 2001 Methods The data of PCI performed from 1999 to 2001 were collected by filling in registry forms and were analyzed retrospectively Results Thirty six thousands and ninety eight cases of PCI from 112 hospitals nationwide were enrolled in the registry, including 8 000 cases in 1999, 11 753 cases in 2000 and 16 345 cases in 2001 The annual case numbers increased by around 40% over the last year The total success rate was 97 0% 53 695 lesions were dilated, among them stents were implanted in 43 304 lesions(80 6%) with success rate of 99 0% The major complications in 30 339 cases of elective PCI included coronary spasm of 2 4%, major coronary dissection of 2 2%, acute occlusion of coronary artery of 0 8%, acute or subacute thrombosis of 0 6%, acute myocardial infarction of 0 5%, emergency coronary artery bypass grafting of 0 07% and death rate of 0 31% During follow up period, target vessel revascularization was undergone in 7 0% of the patients Emergency PCI for acute myocardial infarction was performed in 5 759 cases, which increased tremendously than last registry, including direct PCI in 4 417 cases and rescue PCI in 1 342 cases, the total success rate was 96 3% PCI for left main coronary artery was performed in 551 cases with success rate of 98 4% and death rate of 0 9% During follow up period, 8 patients (1 5%) died, and 25 cases (8 2%) underwent target vessel revascularization In 46% of the hospitals enrolled in the registry the annual case numbers were less than 75 cases, only in 20 1% of the hospitals annual case numbers were more than 200 cases Conclusions The development of PCI in China within the recent three years is still very rapid The annual case numbers increased by around 40% over the last year The success rate and complication rate are compatible with that reported in foreign literatures In the selected cases with left main coronary artery, PCI also achieved good results It is noted that, the development between regions and hospitals is still unbalanced. Technical training and standardization of management are still necessary in a period hereafter

目的 分析 1 999~ 2 0 0 1年我国冠心病介入治疗 (PCI)的发展趋势。方法 凡开展冠心病介入治疗的医院 ,均填写由中华医学会心血管病学分会介入心脏病学组和中华心血管病杂志编辑部统一印发的表格 ,根据表格提供的资料对 1 999~ 2 0 0 1年我国完成的PCI病例进行回顾性统计分析。结果  1 999~ 2 0 0 1年共注册PCI病例总数 36 0 98例 ,来自全国范围内 1 1 2所医院 ,其中 1 999年 80 0 0例 ,2 0 0 0年 1 1 753例 ,2 0 0 1年 1 6 345例 ,总成功率 97 0 %。共扩张病变 53 695处 ,其中 43 30 4处(80 6 % )病变置入支架 ,支架置入成功率 99 0 %。 30 339例择期PCI的主要并发症包括冠状动脉痉挛(2 4% )、严重冠状动脉夹层 (2 2 % )、冠状动脉急性闭塞 (0 8% )、急性、亚急性血栓形成 (0 6 % )、急性心肌梗死 (0 5 % )、急诊冠状动脉旁路移植术 (0 0 7% )、死亡 (0 31 % )。随访中靶血管重建术 7 0 %。急性心肌梗死急诊P...

目的 分析 1 999~ 2 0 0 1年我国冠心病介入治疗 (PCI)的发展趋势。方法 凡开展冠心病介入治疗的医院 ,均填写由中华医学会心血管病学分会介入心脏病学组和中华心血管病杂志编辑部统一印发的表格 ,根据表格提供的资料对 1 999~ 2 0 0 1年我国完成的PCI病例进行回顾性统计分析。结果  1 999~ 2 0 0 1年共注册PCI病例总数 36 0 98例 ,来自全国范围内 1 1 2所医院 ,其中 1 999年 80 0 0例 ,2 0 0 0年 1 1 753例 ,2 0 0 1年 1 6 345例 ,总成功率 97 0 %。共扩张病变 53 695处 ,其中 43 30 4处(80 6 % )病变置入支架 ,支架置入成功率 99 0 %。 30 339例择期PCI的主要并发症包括冠状动脉痉挛(2 4% )、严重冠状动脉夹层 (2 2 % )、冠状动脉急性闭塞 (0 8% )、急性、亚急性血栓形成 (0 6 % )、急性心肌梗死 (0 5 % )、急诊冠状动脉旁路移植术 (0 0 7% )、死亡 (0 31 % )。随访中靶血管重建术 7 0 %。急性心肌梗死急诊PCI较上次注册资料有较大增长 ,共 5 759例 ,其中直接PCI 4 41 7例 ,补救性PCI1 342例 ,总成功率 96 3 %。左主干PCI共完成 551例 ,总成功率 98 4% ,手术死亡率 0 9% ,随访期中死亡 8例 (1 5 % ) ,靶血管重建术 8 2 %。此次参加注册的医院中 ,每年完成PCI <75例的医院占46 0 % ,每

Objectives To find the differences in clinical and angiographic characteristics between young and aged patients with acute myocardial infarction treated by primary angioplasty. Methods The coronary risk factors,coronary angiogarphic findings were compared between two groups of patients with AMI:young group(n=63,≤55 years old)and aged group(n=85,≥65 years old). Results This study found that male was predominant over female in young group(P<0.01).Smoking was the most common risk factor in young group(P<0.01)and...

Objectives To find the differences in clinical and angiographic characteristics between young and aged patients with acute myocardial infarction treated by primary angioplasty. Methods The coronary risk factors,coronary angiogarphic findings were compared between two groups of patients with AMI:young group(n=63,≤55 years old)and aged group(n=85,≥65 years old). Results This study found that male was predominant over female in young group(P<0.01).Smoking was the most common risk factor in young group(P<0.01)and multivessel disease was more often in aged group(P<0.05).The cardiac function in killip classification on admission was better in the young group than that of aged group(P<0.05). Conclusions Smoking,hypercholesterolemia are the common risk factor in young patients with AMI.The young patients with AMI are prone to single vessel disease,and can get more benefit from early direct angioplasty.

目的 评价接受急诊冠状动脉介入 (PCI)治疗的青年与老年急性心肌梗死 (AMI)患者的临床特点与预后的不同。方法 选年龄≤ 5 5岁的青年AMI患者 63名 (组 1)与年龄≥ 65岁的老年AMI患者 85名 (组 2 ) ,比较两组患者的临床特点、造影特点及急诊PCI对其 18± 6 3月随访期预后的影响。结果 青年AMI患者中男性居多 ;老年组患者男女比例接近 (P <0 0 1)。青年组吸烟者多 ,与老年组比较P <0 0 5。青年组高血脂的患病率有高于老年组的趋势。青年组急性心肌梗死多为单支血管病变 ,老年组以多支血管病变居多 (P <0 0 5 )。青年组支架的置入率高于老年组 (P <0 0 1) ,发生再缺血事件及需再血管化的病例在老年组居多 (P <0 0 5 )。结论 青年AMI患者吸烟、高脂血症为其高危因素 :青年AMI患者多为单支血管病变 ,及早PCI可获更佳效益。

 
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