摘要
近些年来,早期再灌注治疗是急性ST段抬高型心肌梗死(STEMI)的首选治疗方法,其中经皮冠状动脉介入治疗(PCI)是STEMI早期再灌注治疗非常有效的方法之一。根据患者发病时间、转运方式及医院救治条件等可以选择不同的PCI方式,主要包括直接PCI、补救PCI和易化PCI。如何选择最佳介入治疗的时机、缩短患者症状发作到再灌注治疗的时间、挽救存活心肌,是改善患者预后、降低死亡率、减少心脏不良事件(MACE)的关键所在。
Recently,early reperfusion therapy has become the optimal treatment for acute ST-segment elevation myocardial infarction(STEMI).One of the most effective reperfusion strategies is percutaneous coronary intervention(PCI).Depend on the time of chest pain onset,transfer mode of patients and treatment capacity of hospital,the methods of PCI are different,including primary PCI,rescue PCI and facilitated PCI.How to seize the optimal time of intervention therapy and reduce the time interval from symptom onset to reperfusion to rescue the dying myocardial cells are the key for improving prognosis,reducing mortality and decreasing major adverse cardiovascular events(MACE)of patients.
作者
张文娟
张云盛
ZHANG Wen-juan;ZHANG Yun-sheng(Department of Cardiology, Tianjin Medical University General Hospital, Tianjin 300052, China;Tianjin Medical University General Hospital Airport Hospital)
出处
《天津医药》
CAS
2017年第11期1130-1134,共5页
Tianjin Medical Journal
基金
天津市科技计划项目(15YFYZSY00020)
关键词
心肌梗死
急性ST段抬高型心肌梗死
经皮冠状动脉介入治疗
myocardial infarction
acute ST-segment elevation myocardial infarction
percutaneous coronary intervention
