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优化急性ST段抬高型心肌梗死的直接经皮冠状动脉介入治疗
引用本文:毛晓波,曾秋棠. 优化急性ST段抬高型心肌梗死的直接经皮冠状动脉介入治疗[J]. 临床心血管病杂志, 2012, 0(5): 321-322
作者姓名:毛晓波  曾秋棠
作者单位:华中科技大学附属协和医院心血管病研究所
摘    要:
对ST段抬高型心肌梗死实施直接经皮冠状动脉介入治疗不应只是为获得TIMI 3级血流,而应是良好的心肌灌注。可通过上游使用血小板膜糖蛋白Ⅱb/Ⅲa受体拮抗剂、他汀类调脂药,个体化正确使用血栓抽吸装置,必要时延迟支架植入等手段,优化直接经皮冠状动脉介入治疗术的效果。

关 键 词:ST段抬高型心肌梗死  直接经皮冠状动脉介入治疗

Optimizing primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction
MAO Xiaobo,ZENG Qiutang. Optimizing primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction[J]. Journal of Clinical Cardiology, 2012, 0(5): 321-322
Authors:MAO Xiaobo  ZENG Qiutang
Affiliation:(Institute of Cardiology,Union Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022,China)
Abstract:
The goal of the primary percutaneous coronary intervention performed on patients with ST-seg-ment elevation myocardial infarction is not a patency blood flow with TIMI 3,but a good myocardial perfusion.Combined use of upstream used GPⅡb/Ⅲa receptor antagonists,individual use of thrombus aspiration and delayed stent implantation if it’s necessary may produce an optimal result.
Keywords:ST-segment elevation myocardial infarction  primary percutaneous coronary intervention
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