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急性心肌梗死复杂冠脉病变延迟支架植入治疗策略
引用本文:尹达,朱皓,周旭晨.急性心肌梗死复杂冠脉病变延迟支架植入治疗策略[J].医学与哲学,2011(6):67-67,71.
作者姓名:尹达  朱皓  周旭晨
作者单位:大连医科大学附属第一医院,辽宁大连116011
摘    要:目前我国临床实践中,急性心肌梗死的急诊介入治疗几乎均以一次性植入支架为手术终点。然而急性心肌梗死患者常伴有复杂冠脉病变,此类患者一次性植入支架常出现“慢血流”或“无复流”现象,导致心肌微循环灌注障碍,直接影响患者的预后。本文从临床策略的角度出发,探讨此类患者急诊冠脉介入治疗中延迟植入支架治疗的策略及可行性。

关 键 词:急性心肌梗死  复杂冠脉病变  治疗策略

Delayed Stent Strategy to Complicated Coronary Lesion in Acute Myocardial Infarction
Institution:YIN Da, ZHU Hao, ZHOU Xuchert. (The Cardiovascular of 1st Affiliated Hospital of Dalian Medical University, Dalian 116011, China)
Abstract:As the end point of Emergency Percutaneous Coronary Intervention(EPCI),regular stent implantation is popular now. However, these patients usually company with complicated coronary lesions, the regular stent implantation strategy isn't always fulfill the microcireulation of myocardium, contributed to poor prognosis. Different strategy to protect micro- circulation is the focus . The Delayed Stent strategy will be discussed about the feasibility.
Keywords:acute myocardial infarction  complicated coronary lesion  therapy strategy
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