摘要
如何有效降低急性ST段抬高型心肌梗死(STEMI)的各种并发症和死亡率,是医学界的研究热点。依据近期的大型临床试验,国内外不断更新急性心肌梗死的治疗指南以便更好的指导临床工作。2012年8月欧洲心脏病学会(ESC)公布的《急性ST段抬高性心梗处理指南》以及2012年12月美国心脏病学基金会(ACCF)和美国心脏协会(AHA)联合发表的《2013年美国ACCF/AHA STEMI治疗指南》中,有很多新的亮点,例如急性心肌梗死的处理流程、再灌注治疗以及抗栓、抗凝治疗等等。本文通过简析上述最新治疗指南来概述急性ST段抬高型心肌梗死的治疗新进展。
How to effectively reduce acute ST-elevation myocardial infarction（STEMI） complications and mortality is a hots- pot of the medical profession. Based on the recent published large-scale clinical trials, Guidelines for the treatment of acute myocardial infarction has constantly updated in order to give better instruction of clinical work. European Society of Cardiolo- gy（ESC） announced《The Guidelines for the management of acute myocardial infarction in patients presenting with ST-seg- ment elevation》 in August 2012, and in December 2012, American College of Cardiology Foundation（ACCF） and the Ameri- can Heart Association（AHA） jointly published《2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction》. There were many highlights in these Guidelines, such as treatment process of acute myocardial infarction, reper- fusion, antiplatelet therapy and anticoagulant therapy. This paper is a overview for the treatment of STEMI according to above guidelines.
出处
《创伤与急危重病医学》
2014年第1期26-29,共4页
Trauma and Critical Care Medicine
关键词
急性ST段抬高型心肌梗死
危重症
治疗指南
acute ST-elevation myocardial infarction
critical disease
treatment guidelines
