患者男,56岁,因不稳定心绞痛人院。冠状动脉造影提示3支病变,行3处冠脉内支架治疗,术后未坚持药物治疗,术后1个月突发胸部疼痛2小时入院。急诊冠状动脉造影...

作者: rantiku 人气: - 评论: 0
问题 患者男,56岁,因不稳定心绞痛人院。冠状动脉造影提示3支病变,行3处冠脉内支架治疗,术后未坚持药物治疗,术后1个月突发胸部疼痛2小时入院。急诊冠状动脉造影检查提示2处支架完全闭塞。此时最恰当的治疗是
选项 A.急诊PTCA B.急诊冠状动脉搭桥术 C.溶栓治疗 D.硝酸甘油静脉输入 E.主动脉内球囊反搏治疗
答案 B
解析 :多处多支病变应首选冠状动脉搭桥术,介入治疗后再狭窄仍应积极选择冠状动脉搭桥术。

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