| 经皮冠状动脉介入治疗相关性心肌梗死的危险因素分析 |
| Alternative Title | Analysis and Research of Risk factors Related to Myocardial Infarction for Percutaneous Coronary Intervention
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| 魏翰文 |
| Thesis Advisor | 张钲
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| 2013-05-14
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| Degree Grantor | 兰州大学
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| Place of Conferral | 兰州
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| Degree Name | 硕士
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| Keyword | 经皮冠状动脉介入治疗
围手术期心肌梗死
危险因素
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| Abstract | 目的 对可能发生经皮冠状动脉介入治疗（PCI）相关性心梗患者相关危险因素进行分析，得出可能预测PCI相关性心梗的危险因素，以便更好的指导临床治疗。
方法 回顾性分析兰州大学第一医院心脏中心2011年01月—2011年6月间行择期冠状动脉介入治疗（PCI）的患者275例，其中男性228例(82.9%)，女性47例(17.1%)；平均年龄(62±9)岁；162例（58.9%）患者被诊断为急性冠脉综合征（acute coronary syndrome，ACS）。检测患者术后8-12h肌钙蛋白（cTnI），并依据2007年美国AHA关于PCI相关性心梗的诊断标准将患者分成2组，观察两组患者术前临床特征、造影结果、术中相关并发症等因素与PCI围术期相关性心梗之间关系。
结果 19例（6.91%）患者发生围术期心肌梗死，造影结果提示冠脉多支病变（2,3vs1）、血栓病变及术中相关并发症（限制性血管夹层、边支血管闭塞、无复流现象）与PCI围术期心肌梗死发生密切相关（P<0.05）。
结论 1.冠脉多支病变的患者发生围术期心肌梗死的几率高于单支病变的患者；2.冠脉存在血栓病变易发生围术期心肌梗死；3.术中相关并发症的发生与围术期心肌梗死密切相关。 |
| Other Abstract | Objective To analyze Risk factors Related to Myocardial Infarction for Percutaneous Coronary Intervention and include Risk factors Related to Myocardial Infarction to better guide the clinical treatment.
Method Retrospective study, a total of 275 patients undergoing elective percutaneous coronary intervention( PCI) were enrolled, including 228 males(82.9%) and 47 females (17.1%). The average age of patients was ( 62±9) years old, and162 cases (58.9%) patients were diagnosed with acute coronary syndrome (acute coronary syndrome, ACS)．Assess the troponin I(cTnI) 8-12h after the intervention, and divide the patients into 2 groups, according to 2007 AHA diagnostic criteria on PCI-related myocardial infarction, Observe the correlation relationship between the two groups’ clinical features, angiography, surgery-related complications and other factors before PCI and perioperative myocardial infarction.
Result There are 19 cases (6.91%) in patients with perioperative myocardial infarction. Statistics shows angiographic results suggest coronary multivessel disease (2,3 vs 1), thrombotic lesions and surgery-related complications (restrictive vessel dissection, Side branch flow occlusion,no-reflow phenomenon) closely associated with the occurrence of PCI perioperative myocardial infarction(P<0.05). |
| URL | 查看原文
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| Language | 中文
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| Document Type | 学位论文
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| Identifier | https://ir.lzu.edu.cn/handle/262010/223190
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| Collection | 学院待认领
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| Affiliation | 临床医学院
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Recommended Citation
GB/T 7714 |
魏翰文. 经皮冠状动脉介入治疗相关性心肌梗死的危险因素分析[D]. 兰州. 兰州大学,2013.
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