女性吸毒人群急性心肌梗死患者的临床和冠状动脉病变特点

发布时间：2018-02-28 00:52

本文关键词： 心肌梗死血管成形术经皮冠状动脉吸毒　出处：《重庆医学》2014年30期 　论文类型：期刊论文

【摘要】：目的研究女性吸毒人群急性心肌梗死(AMI)患者的临床和冠状动脉病变特征。方法回顾性分析2006年2月至2012年6月,武警广东总队医院司法病区中心收治的70例经冠状动脉造影确诊的女性AMI患者。结果 70例女性患者中66例为急性ST段抬高型心肌梗死(STEMI),4例为急性非ST段抬高型心急梗死(NSTEMI);67例为阻塞性病变,进行了经皮再血管化治疗;随吸毒时间的延长及合并危险因素的增加,AMI的发生率升高(P0.05)。冠状动脉造影资料结果分析发现:不同吸毒时间的AMI患者多为单支病变,比例明显高于三支病变和主干病变,其中血管以左前降支病变最为常见,其次为右冠状动脉、回旋支。三支及主干病变在吸毒时间小于5年的患者中少见,随吸毒时间延长,三支及主干病变增加。随访期间有1例在监押场所猝死,5例因心绞痛发作再住院。结论女性吸毒人群AMI患者多为急性STEMI,以单支、阻塞性病变多见,前降支为最常见的罪犯血管。吸毒时间越长,合并危险因素越多,AMI的发生率越高。
[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.
【作者单位】：武警广东总队医院司法病区;武警广东总队医院急诊科;广州市天河区卫生局;
【分类号】：R542.22;R749.64

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