[摘要] 目的 分析急性冠脉综合征(ACS)患者经皮冠脉介入手术(PCI)术后上消化道出血危险因素。方法 整群选取2013年1月—2016年5月山东大学齐鲁医院心血管内科收治ACS并采用PCI手术治疗患者474例，回顾性分析，将发生消化道出血患者194例纳入病例组，余者280例纳入对照组，进行因素分析。结果 发生率40.93%(194/474)，年龄、消化道溃疡病史、联合抗凝剂、非甾体抗炎药物、饮酒史成为独立危险因素，差异有统计学意义(P<0.05)。 结论 需做好风险预测，针对性预防干预。

    [关键词] 急性冠脉综合征；PCI；上消化道出血；因素分析

    [中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742(2017)01(b)-0065-03

    [Abstract] Objective To analyze the upper gastrointestinal hemorrhage risk factors of patients with acute coronary syndrome after the PCI operation. Methods Group selection 474 cases of operative patients with ACS and PCI operation in the department of cardiovascular medicine in the Qilu Hospital of Shandong University from January 2013 to May 2016 were retrospectively analyzed and the patients with gastrointestinal hemorrhage were included as the case group(194 cases) ......