摘要：目的:探讨急诊经皮冠状动脉腔内成形术(PTCA)及支架植入术(Stenting)治疗急性心肌梗死的有效性和安全性。方法:选择2002年8月至2006年2月间12例急性心肌梗死患者, 行急诊PTCA及支架植入术。结果:12例患者中10例(83.3%)支架被成功植入靶血管病变处，1例患者因导丝不能通过阻塞血管段而改为冠状动脉内溶栓治疗，1例术中死亡。结论:急性心肌梗死初期经皮冠状动脉腔内成形术及支架植入术是安全有效的治疗方法。

    关键词： 经皮冠状动脉腔内成形术(PTCA)； 支架植入术； 急性心肌梗死

    The Clinical Research of Primary Percutaneous Transluminal Coronary Angioplasty and Stenting in Acute Myocardial Infarction

    FAN Tao, SHENG Xiao-dong, ZHOU Jian-long, et al

    (The Second Hospital of Changshu City, Jiangsu Changshu 215500, China)

    Abstract： Objective: To evaluate the efficacy and safety of primary percutaneous transluminal coronary angioplasty and stenting in acute myocardial infarction.Method: 12 patients with acute myocardial infarction who were admitted into hospital from Aug. 2002 to Feb. 2006 received primary percutaneous transluminal coronary angioplasty and stenting. Result: PCI was successful in 10 cases of all 12 cases (83.3%). Conclusion: Primary percutaneous transluminal coronary angioplasty and stenting in acute myocardial infarction is a safe and effective method. ......