我国急性ST段抬高型心肌梗死药物溶栓后行经皮冠状动脉介入治疗的策略探讨
赵佳,霍勇,李春洁
摘要(Abstract):
<正>ST段抬高型心肌梗死(ST-segment elevationmyocardial infarction, STEMI)是心血管疾病最为凶险的类型之一。《中国心血管病报告2018》概要指出,STEMI的发病率及死亡率逐年上升,并呈年轻化趋势~([1])。现阶段STEMI再灌注治疗主要有两种方法,分别是药物溶栓治疗和直接经皮冠状动脉介入治疗(percutaneous coronary intervention, PCI)。由于STEMI起病急、进展快、救治时间窗短,尽快开通闭塞血管达到有效的心肌再灌注是STEMI救治的核心~([2])。直接PCI是一种充分完全的再灌注治疗,但受限于医疗条件、地理位置及技术水平等因素,难以在我国基层医院广泛实施。为提高我国STEMI患者救治率,缩短再灌注时间,改善患者预后,
关键词(KeyWords): ST段抬高型心肌梗死;溶栓;经皮冠状动脉介入治疗
基金项目(Foundation): 国家重点研发计划项目(2016YFC1301100);; 天津市科技发展战略研究计划项目(18ZLZXZF00090);; 天津市科技重大专项与工程项目(15ZXHLSY00320)
作者(Author): 赵佳,霍勇,李春洁
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