处理高血栓负荷急性心肌梗死一例
张鹏,胡伟,张大东
摘要(Abstract):
<正>患者男,43岁。2013年10月15日因"持续性胸痛5 h"入院。查体:神清,气平,口唇无发绀,颈软,双肺呼吸音清,未闻及湿啰音及哮鸣音,血压102/53 mmHg(1 mmHg=0.133 kPa),心率73次/min,律齐,未及病理性杂音,腹软,双下肢无浮肿。心电图示:Ⅱ、Ⅲ、aVF、V3R~V5R、V7~V9导联ST段弓背向上抬高;Ⅱ、Ⅲ、aVF、V3R~V5R导联异常Q波,诊断为"急性心肌梗死(下
关键词(KeyWords): ST段抬高心肌梗死;右冠状动脉;血栓抽吸
基金项目(Foundation): 上海市医学重点专科建设计划项目(A类,ZK2012A24)
作者(Author): 张鹏,胡伟,张大东
参考文献(References):
- [1]Frobert O,Lagerqvist B,Olivecrona GK,et al.Thrombus aspiration during ST-segment elevation myocardial infarc?tion.N Engl J Med,2013,369:1587-1597.
- [2]Margheri M,Falai M,Vittori G,et al.Safety and efficacy of the AngioJet in patients with acute myocardial infarction:results from the Florence Appraisal Study of Rheolytic Thrombectomy(FAST).J Invasive Cardiol,2006,18:481-486.
- [3]万方,张拓,沈玲红,等.急性ST段抬高心肌梗死溶栓后早期介入治疗与直接介入治疗的对比研究.中国介入心脏病学杂志,2013,21:3-7.
- [4]Dauvergne C,Araya M,Uriarte P,et al.'Mother-in-child'thrombectomy technique:a novel and effective approach to decrease intracoronary thrombus burden in acute myocardial infarction.Cardiovasc Revasc Med,2013,14:14-17.
- [5]Rechavia E,Brosh D,Dvir D,et al.Primary PCI:should we stent every single culprit artery?Eur Heart J Acute Cardiovasc Care,2014,3:126-131.
- [6]Prati F,Uemura S,Souteyrand G,et al.OCT-based diagnosis and management of STEMI associated with intact fibrous cap.JACC Cardiovasc Imaging,2013,6:283-287.