天津医药

天津医药 ›› 2017, Vol. 45 ›› Issue (11): 1130-1134.doi: 10.11958/20170795

• 专题-心肌梗死 • 上一篇    下一篇

急性ST段抬高型心肌梗死的介入时机选择

张文娟 ，张云盛    

  1. 1 天津医科大学总医院心内科；2 天津医科大学总医院空港医院
  • 收稿日期:2017-07-07 修回日期:2017-09-27 出版日期:2017-11-15 发布日期:2017-11-15
  • 通讯作者: 张文娟 E-mail:zwjzyy2013@163.com
  • 基金资助:
    天津市科技计划项目（15YFYZSY00020）

The timing of intervention of acute ST-segment elevation myocardial infarction

ZHANG Wen-juan, ZHANG Yun-sheng   

  1. 1 Department of Cardiology, Tianjin Medical University General Hospital, Tianjin 300052, China;2 Tianjin Medical University General Hospital Airport Hospital
  • Received:2017-07-07 Revised:2017-09-27 Published:2017-11-15 Online:2017-11-15
  • Contact: Wen-juan ZHANG E-mail:zwjzyy2013@163.com

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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。

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

Abstract: 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.

Key words: myocardial infarction, acute ST-segment elevation myocardial infarction, percutaneous coronary
intervention

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