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急性心肌梗死经皮冠状动脉介入术中血栓病变的处理策略
引用本文:周力. 急性心肌梗死经皮冠状动脉介入术中血栓病变的处理策略[J]. 心血管病学进展, 2011, 32(4): 516-518. DOI: 10.3969/j.issn.1004-3934.2011.04.017
作者姓名:周力
作者单位:首都医科大学附属北京友谊医院医疗保健中心,北京,100050
摘    要:
冠状动脉内血栓形成是急性心肌梗死的主要发病机制,高负荷血栓病变增加经皮冠状动脉介入术后慢复流或无复流的发生。如何处理血栓病变,有效改善心肌灌注是直接经皮冠状动脉介入术需要解决的问题,现对包括药物、器械在内的处理策略进行综述。

关 键 词:血栓  经皮冠状动脉介入术  心肌灌注

Treatment Strategy of High-burden Thrombus During Primary Percutaneous Coronary Intervention in Acute Myocardial Infarction Patients
ZHOU Li. Treatment Strategy of High-burden Thrombus During Primary Percutaneous Coronary Intervention in Acute Myocardial Infarction Patients[J]. Advances in Cardiovascular Diseases, 2011, 32(4): 516-518. DOI: 10.3969/j.issn.1004-3934.2011.04.017
Authors:ZHOU Li
Affiliation:ZHOU Li1,CHEN Hui2 (1.Health Care Centers,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China,2.Cardiovascular Center,China)
Abstract:
Coronary thrombosis is the primary pathogenesis of acute myocardial infarction.High-burden thrombus plays a pivotal role in combined slow flow and no reflow in the infarct-related artery after primary percutaneous coronary intervention.This article examines the methods used to reduce the thrombus burden of the culprit lesion and improve myocardial perfusion.
Keywords:thrombus  percutaneous coronary intervention  myocardial infarction  
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