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目的回顾分析极年轻成人急性心肌梗死的临床特点和直接经皮介入治疗的效果。方法:2007~2008年,因急性心肌梗死入住我科的患者530例,有5例(0.9%)为年龄小于35岁的极年轻成人。我们对其临床特点进行分析,并给予直接经皮冠脉介入治疗。结果:患者年龄26~35岁,引起急性心肌梗死的罪犯血管中左冠状动脉前降支和回旋支3例,右冠状动脉2例。5例患者手术均获得成功,均无并发症发生,随访半年均无不良心脏事件发生。结论:对极年轻成人急性心肌梗死进行直接经皮冠脉介入治疗是安全有效的。
Objective To retrospectively analyze the clinical features of acute myocardial infarction (AMI) in young adults and the effect of direct percutaneous intervention. Methods: From 2007 to 2008, 530 patients admitted to our department due to acute myocardial infarction were enrolled. Among them, 5 (0.9%) were very young adults younger than 35 years old. We analyzed its clinical features and gave direct percutaneous coronary intervention. Results: Patients aged 26-35 years old had three cases of left anterior descending coronary artery and circumflex artery and two cases of right coronary artery in the culprit artery of acute myocardial infarction. Five patients were successful in operation, no complication occurred. No adverse cardiac events occurred during the follow-up period of six months. Conclusions: Direct percutaneous coronary intervention for acute myocardial infarction in very young adults is safe and effective.