本文關(guān)鍵詞： 心肌梗死 血管成形術(shù) 經(jīng)皮冠狀動(dòng)脈 吸毒　出處：《重慶醫(yī)學(xué)》2014年30期 　論文類(lèi)型：期刊論文

【摘要】：目的研究女性吸毒人群急性心肌梗死(AMI)患者的臨床和冠狀動(dòng)脈病變特征。方法回顧性分析2006年2月至2012年6月,武警廣東總隊(duì)醫(yī)院司法病區(qū)中心收治的70例經(jīng)冠狀動(dòng)脈造影確診的女性AMI患者。結(jié)果 70例女性患者中66例為急性ST段抬高型心肌梗死(STEMI),4例為急性非ST段抬高型心急梗死(NSTEMI);67例為阻塞性病變,進(jìn)行了經(jīng)皮再血管化治療;隨吸毒時(shí)間的延長(zhǎng)及合并危險(xiǎn)因素的增加,AMI的發(fā)生率升高(P0.05)。冠狀動(dòng)脈造影資料結(jié)果分析發(fā)現(xiàn):不同吸毒時(shí)間的AMI患者多為單支病變,比例明顯高于三支病變和主干病變,其中血管以左前降支病變最為常見(jiàn),其次為右冠狀動(dòng)脈、回旋支。三支及主干病變?cè)谖緯r(shí)間小于5年的患者中少見(jiàn),隨吸毒時(shí)間延長(zhǎng),三支及主干病變?cè)黾�。隨訪期間有1例在監(jiān)押場(chǎng)所猝死,5例因心絞痛發(fā)作再住院。結(jié)論女性吸毒人群AMI患者多為急性STEMI,以單支、阻塞性病變多見(jiàn),前降支為最常見(jiàn)的罪犯血管。吸毒時(shí)間越長(zhǎng),合并危險(xiǎn)因素越多,AMI的發(fā)生率越高。
[Abstract]:Objective to study the clinical and coronary artery disease characteristics of acute myocardial infarction (AMI) patients in female drug users. A total of 70 female AMI patients were diagnosed by coronary angiography. Results 66 of 70 female patients were acute ST-segment elevation myocardial infarction. 4 cases were acute non-ST-segment elevation type. There were 67 cases of obstructive lesions with acute myocardial infarction. Percutaneous revascularization therapy was performed, and the incidence of AMI increased with the prolongation of drug use time and the increase of risk factors (P 0.05). The results of coronary angiography showed that AMI patients with different drug use time were mostly single vessel disease. The proportion of the disease was significantly higher than that of the three vessel lesions and the main trunk lesions, in which the left anterior descending branch was the most common, followed by the right coronary artery and the circumflex branch. The disease of the three vessels and the main trunk was rare in the patients who had taken drugs for less than 5 years, and with the prolongation of the drug use time, During the follow-up period, 1 case died of sudden death in the prison place and 5 cases were rehospitalized for angina pectoris. Conclusion the AMI patients in female drug addicts are mostly acute STEMI.One-vessel and obstructive disease are more common in female drug users. The longer the drug use, the higher the incidence of AMI with more risk factors.
【作者單位】： 武警廣東總隊(duì)醫(yī)院司法病區(qū);武警廣東總隊(duì)醫(yī)院急診科;廣州市天河區(qū)衛(wèi)生局;
【分類(lèi)號(hào)】：R542.22;R749.64

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 ;中國(guó)成人血脂異常防治指南[J];中華心血管病雜志;2007年05期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 何俊;王志強(qiáng);韓冷;鄭建良;何文兵;曹東來(lái);;急性冠脈綜合征患者的阿托伐他汀應(yīng)用的依從性及影響因素[J];安徽醫(yī)學(xué);2010年01期

2 柯常旺;張伯興;;杭州市下沙街道中老年居民非酒精性脂肪性肝病患病率流行病學(xué)調(diào)查[J];安徽醫(yī)學(xué);2010年05期

3 蔣長(zhǎng)順;賀學(xué)姣;楊春林;;合肥地區(qū)部分職業(yè)人群血脂水平及血脂異常流行情況[J];安徽醫(yī)學(xué);2010年12期

4 連娟;田瑞霞;祝文虎;王璨;任明磊;;頸動(dòng)脈內(nèi)中膜厚度的超聲定量分析和頸動(dòng)脈粥樣硬化危險(xiǎn)因素的研究[J];安徽醫(yī)學(xué);2011年10期

5 陳坷;嚴(yán)激;;女性血脂異常的治療進(jìn)展[J];安徽醫(yī)學(xué);2012年01期

6 范婷婷;徐巖;張建華;;他汀類(lèi)藥物早期、強(qiáng)化調(diào)脂在急性冠脈綜合征中的應(yīng)用[J];安徽醫(yī)藥;2010年05期

7 張委;譚雅楠;郭建軍;;優(yōu)秀女子舉重運(yùn)動(dòng)員高脂血癥情況調(diào)查[J];標(biāo)記免疫分析與臨床;2011年03期

8 秦明照;遲家敏;;北京地區(qū)2077例2型糖尿病慢性并發(fā)癥和合并癥的調(diào)查[J];北京醫(yī)學(xué);2009年11期

9 薛柳華;黃世敬;潘菊華;吳巍;陳宇霞;王階;;高效抗反轉(zhuǎn)錄病毒治療相關(guān)高脂血癥中醫(yī)診療概述[J];北京中醫(yī)藥;2011年05期

10 鄭愛(ài)軍;;柴夏調(diào)脂顆粒治療血脂異常臨床觀察[J];北京中醫(yī)藥;2011年09期

相關(guān)會(huì)議論文 前10條

1 劉英華;于曉明;張榮欣;張新勝;張永;王覲;徐慶;楊雪艷;劉釗;薛長(zhǎng)勇;;中鏈脂肪酸對(duì)高甘油三酯血癥合并不同水平HDL-C患者血脂和脂蛋白的影響[A];營(yíng)養(yǎng)與老年代謝病——達(dá)能營(yíng)養(yǎng)中心第十四屆學(xué)術(shù)年會(huì)論文集[C];2011年

2 王冬蘭;趙小玲;陳偉強(qiáng);李樹(shù)田;侯s，

本文編號(hào)：1545046