溶栓后PCI,从不行到可行

再灌注治疗STEMI的方法有直接PCI和溶栓。我国各地医疗条件差别较大,只有12%的STEMI患者能够及时接受直接PCI,超过半数的患者仍行溶栓治疗,故溶栓在我国再灌注策略中占有重要地位。虽然溶栓后即刻PCI即易化PCI被证实不如直接PCI,但溶栓并非STEMI治疗的终点。目前国外循证证据显示溶栓后早期转运PCI优于溶栓失败后再转运行补救PCI,值得我国借鉴学习。

PCI after Thrombolysis,From Cannot Do to Can Do

Reperfusion therapy for STEMI includes primary PCI and thrombolysis. In China, only 12% STEMI patients could accept primary PCI in time. On the contrary, more than 50% percent patients had thrombolysis therapy, thus, thrombolysis play an important role in China. It was confirmed that Facility PCI was inferior to Primary PCL Meantime thrombolysis was not the end point for STEMI patient. The recent medical evidence indicate that early transfer PCI after thrombolysis was good than rescue PCI.