| 降低急性心梗急诊PCI后无复流／慢血流方法探讨（附89例报告） |
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| 引用本文： | 丁浩,程勇,张荣林,张志勇,程春齐,王万虹,骆十姐,吴静,王苗苗.降低急性心梗急诊PCI后无复流／慢血流方法探讨（附89例报告）[J].心血管康复医学杂志,2012,21(6):616-618. |
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| 作者姓名： | 丁浩 程勇 张荣林 张志勇 程春齐 王万虹 骆十姐 吴静 王苗苗 |
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| 作者单位： | 丁浩 (南京鼓楼医院集团宿迁市人民医院心内科,江苏宿迁,223800)； 程勇 (南京鼓楼医院集团宿迁市人民医院心内科,江苏宿迁,223800)； 张荣林 (南京鼓楼医院集团宿迁市人民医院心内科,江苏宿迁,223800)； 张志勇 (南京鼓楼医院集团宿迁市人民医院心内科,江苏宿迁,223800)； 程春齐 (南京鼓楼医院集团宿迁市人民医院心内科,江苏宿迁,223800)；王万虹 (南京鼓楼医院集团宿迁市人民医院心内科,江苏宿迁,223800)； 骆十姐 (南京鼓楼医院集团宿迁市人民医院心内科,江苏宿迁,223800)； 吴静 (南京鼓楼医院集团宿迁市人民医院心内科,江苏宿迁,223800)； 王苗苗 (南京鼓楼医院集团宿迁市人民医院心内科,江苏宿迁,223800)； |
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| 摘 要： | 目的：探索降低急诊PCI后无复流／慢血流的方法。方法：急诊PCI病人分两组：常规PCI组（49例），出现无复流／慢血流后予以血小板Ⅱb／Ⅲa受体拮抗剂（替罗非班）和／或血栓抽吸导管处理；预处理组（30例）在球囊扩张前予以替罗非班和／或血栓抽吸预处理。结果：预处理组未出现无复流／慢血流；与常规PCI组比较，预处理组无复流／慢血流发生率明显降低（10．2％比0，P〈0．05）。结论：在常规药物治疗的基础上预防性使用替罗非班和／或血栓抽吸可以明显降低急诊PCI术后无复流／慢血流的发生。
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| 关 键 词： | 心肌梗塞 血管成形术 经腔 经皮冠状动脉 血栓形成 |
Explore of method decreasing no-reflow/slow blood flow in patients with acute myocardial infarction after emergency PCI(report of 89 cases) |
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| DING Hao,CHENG Yong,ZHANG Rong-lin,ZHANG Zhi-yong,CHENG Chun-qi,WANG Wan-hong,LUO Shi-jie,WU Jing,WANG Miao-miao.Explore of method decreasing no-reflow/slow blood flow in patients with acute myocardial infarction after emergency PCI(report of 89 cases)[J].Chinese Journal of Cardiovascular Rehabilitation Medicine,2012,21(6):616-618. |
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| Authors: | DING Hao CHENG Yong ZHANG Rong-lin ZHANG Zhi-yong CHENG Chun-qi WANG Wan-hong LUO Shi-jie WU Jing WANG Miao-miao |
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| Institution: | //Department of Cardiology,People′s Hospital of Suqian City of Nanjing Drum Tower Hospital Group,Suqian,Jiangsu,223800,China |
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| Abstract: | Objective： To study method decreasing no-reflow/slow blood flow after emergency percutaneous coronary intervention （PCI）. Methods： A total of 79 patients undergoing emergency PCI were divided into two groups： routine PCI group （n = 49）, received platelet IIb/III a receptor antagonist （tirofiban） and/or thrombus aspiration catheter treatment when noreflow/slow blood flow occurred; Preconditioning group （n = 30）, received tirofiban and/or thrombus aspiration preconditioning before balloon dilation. Results.. There was no case of no- reflow/slow blood flow in preconditioning group; compared with routine PCI group, the incidence rate of no- reflow/slow blood flow significantly decreased （10.2% vs. 0, P〈0.05） in preconditioning group. Conclusion： Based on routine drug treatment, prophylactic use of tirofiban and/or thrombus aspiration can significantly decrease incidence rate of no- reflow/slow blood flow after emergency percutaneous coronary intervention. |
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| Keywords: | Myocardial infarction Angioplasty transluminal percutaneous coronary Thrombosis |
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