首页> 中文期刊> 《河北医学》 >经皮冠状动脉介入术对急性冠状动脉综合征患者出血事件的影响与患者临床预后分析

经皮冠状动脉介入术对急性冠状动脉综合征患者出血事件的影响与患者临床预后分析

         

摘要

目的:回顾性分析经皮冠状动脉介入术对急性冠状动脉综合征患者出血事件的影响并分析患者的临床预后状况进行分析。方法:回顾性分析我院120例接受经皮冠状动脉介入术的急性冠状动脉综合征患者,统计并发院内出血事件患者的的数量,与随机抽取的120例未接受经皮冠状动脉介入术的患者发生院内出血事件的数量进行对比,并对其进行为期一年的跟踪随访。接受经皮冠状动脉介入的患者为研究组,未接受经皮冠状动脉介入术的患者为对照组。结果:研究组发生出血事件的患者23例,其中轻微出血者12例,中度出血者7例,重度出血者4例,二次入院6例,病死2例。对照组发生出血事件的患者为2例,其中轻微出血1例,中度1例,重度出血0例,二次入院14例病死6例。结论:接受经皮冠状动脉介入术治疗的患者发生出血事件的数量高于未接受经皮冠状动脉介入术治疗的患者;而接受经皮冠状动脉介入治疗的患者的二次入院及病死数量低于为接受冠状动脉治疗的患者。%Objective:To retrospective analyse the percutaneous coronary intervention bleeding events in patients with acute coronary syndromes and the influence of clinical outcomes in patients with status analy-sis. Methods:The retrospective analyed 120 patients who underwent percutaneous coronary intervention in the patients with acute coronary syndromes, and statistics the number of patients with nosocomial hemorrhages, and randomly selected 120 cases without in patients undergoing percutaneous coronary intervention in the num-ber of hospital bleeding events. In patients undergoing percutaneous coronary intervention for the team, not in patients undergoing percutaneous coronary intervention for control group. Results:23 patients with bleeding e-vents in the study group, including 12 cases mild bleeding, moderate bleeding 7 cases, 4 cases of severe hem-orrhage. The control group patients bleeding events in 2 cases, including mild bleeding in 1 case, moderate in 1 case, and 0 case of severe bleeding. Conclusion:The amounts of bleeding events in patients with percutane-ous coronary intervention are significantly higher than that in non-accepting percutaneous coronary artery inter-vention patients and the mortality rate and the second admission rate are lower.

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