急性冠状动脉综合征患者再灌注策略的选择
郭文怡,张东伟,赵志敬
摘要(Abstract):
<正>急性冠状动脉综合征(acute coronary syndromes,ACS)是冠状动脉粥样硬化斑块破裂或侵蚀,继发完全或不完全闭塞性血栓或冠状动脉痉挛的一组临床综合征,包括急性ST段抬高心肌梗死(ST-segment elevation myocardial infarction,STEMI)、急性非ST段抬高心肌梗死(non ST-segment elevation myocardial infarction,NSTEMI)和不稳定型心绞痛(unstable angina,UA)[1]。因各种疾病的病理生理改变不同,所以治疗策略存在差异。1.急性ST段抬高心肌梗死大量循证医学证据确认早期再灌注治疗(无论是溶栓治疗还是介入治疗)能有效降低STEMI患者总体病死率,其目的在于挽救缺血心肌,因此,恢复灌注时间是关键因素。
关键词(KeyWords): 急性冠状动脉综合征;经皮冠状动脉介入治疗;再灌注
基金项目(Foundation):
作者(Author): 郭文怡,张东伟,赵志敬
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