急诊PCI术后无复流相关危险因素的研究进展

急诊经皮冠状动脉介入治疗(PCI)是治疗急性心肌梗死的主要措施之一,而无复流是急诊PCI术后一类并不少见的现象,严重影响PCI术开通病变血管的效果及远期的预后。PCI术中无复流的发生与多种因素有关,除与遗传个体易患因素外,还与患者入院前的一般状况、有无并发症等密切相关,因此及早地判断发生无复流的可能性,并采取一定的预防措施,对防止无复流的发生、改善PCI术后血管开通的效果具有重要的临床意义。

Research Progress of the Risk Factors for No-reflow Phenomenon in PCI

Primary percutaneous coronary intervention（PCI） is one of main treatments for acute myocar- dial infarction. However,primary PCI is associated with a terrible problem known as the no-reflow phenomenon which has serious effect on the PCI opening lesion vessels and the long-term prognosis. In addition to genetic factors, the general conditions, complications before admittance to hospital are also closely correlated with the no-reflow phenomenon. Therefore,judging the possibility of no-reflow and adopting certain preventive meas- ures are of great clinical significance for the prevention of no-reflow and improvement of PCI postoperative vessel ventilation effect.