本文選題：左主干閉塞 + 介入治療�。� 參考：《介入放射學雜志》2017年08期

【摘要】：目的探討冠狀動脈左主干急性閉塞病變介入治療新術式臨床應用的效果。方法收集2003年5月至2016年10月收治的左主干急性閉塞患者58例臨床資料。其中14例接受傳統經皮冠狀動脈介入治療(PCI),44例先接受小球囊擴張,血流恢復TIMI分級3級后等待30~40 min再植入支架。結果接受傳統PCI治療患者中8例死亡,死亡率為57.1%(8/14);接受先行小球囊擴張再行支架植入術患者中僅3例死亡,死亡率為6.8%(3/44)。結論小球囊擴張后延時支架植入術治療急性左主干閉塞患者死亡率更低,是一種安全有效的術式。
[Abstract]:Objective to investigate the clinical effect of the new method of interventional treatment for acute coronary artery occlusion.Methods from May 2003 to October 2016, 58 patients with acute occlusion of left main trunk were collected.Among them, 14 cases were treated with traditional percutaneous coronary intervention. 44 cases received small balloon dilatation. The blood flow was restored to grade 3 of TIMI grade, and then the stents were implanted for 30 ~ 40 min.Results among the patients treated with traditional PCI, 8 died, with a mortality rate of 57.1%, and only 3 cases with small balloon dilatation and stent implantation, with a mortality rate of 6.8% 44%.Conclusion delayed stent implantation after small balloon dilatation is a safe and effective method for the treatment of acute left main artery occlusion.
【作者單位】： 山東省交通醫(yī)院心內科;
【分類號】：R542.22

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