冠状动脉无复流现象的防治进展  

Research Progress in Prevention and Treatment of Coronary No-Reflow Phenomenon

作　　者：张春震[1] 赵郁[2] 

机构地区：[1]沈阳市第四人民医院心内科,沈阳110031 [2]武警辽宁省总队医院感染科,沈阳110034

出　　处：《中国现代医生》2008年第10期24-26,共3页China Modern Doctor

摘　　要：急性心肌梗死患者冠状动脉的再灌注治疗已经得到广泛开展。但由于无复流现象的发生严重影响了再灌注治疗的成功率。有研究证实,大于25%的急性心肌梗死患者经成功的溶栓或经皮冠脉介入术后都存在无复流现象,即未达到充分的心肌再灌注。因此,改善心肌微循环再灌注,减少无复流现象的发生率成为现今治疗急性心肌梗死的新热点。本文对无复流现象的机制及各种改善心肌微循环的防治进展作一综述。Reperfusion therapy is widely performed in patients with acute myocardial infarction （AMI）. The incidence of no-reflow phenomenon badly influences the successful rate of repeffusion therapy. Several investigators have documented that the no-reflow phenomenon is observed in 〉25% of patients after successful thrombolysis or percutaneous coronary intervention for AMI. Therefore, it becomes one of new researc.h hotspots of the treament of AMI at present to improve microcirculatian repeffusion and reduce no-reflow phenomenon. The mechanism of no-reflow phenomenon, the progress in various therapies of improving microcirculation are reviewed.

关 键 词：急性心肌梗死 无复流现象 微循环 

分 类 号：R541.4[医药卫生—心血管疾病]