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目的：探讨急性冠脉综合征患者急诊绿色通道P C I术的应用情况。方法：对我院急诊科1年零3个月以来救治的75例急性冠脉综合征患者的一般临床资料、病变冠脉、P C I术D2B时间的情况进行追踪分析。结果：A C S患者的平均年龄64.85岁。A C S患者基础病的分布：高血压41.3%，糖尿病14.7%，慢性肾衰8.0%，高尿酸血症8.0%。A C S患者行急诊P C I术的比例为68.0%，其平均D2B为151.74min。病变冠脉情况：LCX占37.3%，RCA占49.0%，LAD占49.0%。单支病变占74.5%,三支病变占9.8%，双支病变占15.7%。结论：A C S患者大部分均行P C I术治疗，其的D2B时间仍未达到新指南标准。冠脉病变以前降支及右冠的病变较为多见，且多以单支病变方式出现。“,”Objective To investigate the application situation of PCI operation in acute coronary syndrome emergency Easy Access. Methods The 75 acute coronary syndrome patients of our hospital in 1 years and 3 months,tracing analysis their general clinical data,coronary artery lesion, D2B time in PCI operation.Results The average age of ACS patients was 64.85 years old. The distribution of ACS patients basic pathology:hypertension 41.3%, diabetes 14.7%,Chronic renal failure 8%, hyperuricemia 8%. ACS patients were treated with emergency PCI in the proportion is 68%, the average D2B was 151.74min.Coronary lesions:LCX accounted for 37.3%, RCA accounted for 49%, LAD accounted for 49%.The single branch lesions accounted for 74.5%,three branch lesions accounted for 9.8%,two branch lesions accounted for 15.7%. Conclusion Most of ACS patients treat with PCI operation,the D2B time has not yet reached the new guidelines.In Coronary artery disease,LCA and RCA are more common, and more appear as the single branch lesions.