非心脏手术患者围手术期心肌梗死的处理  

Management of Perioperative Myocardial Infarction in Non-cardiac Surgical Patients

作　　者：王雅洁[1] 于波[1] 

机构地区：[1]中国医科大学附属第一医院心血管内科,辽宁沈阳110001

出　　处：《心血管病学进展》2009年第4期638-642,共5页Advances in Cardiovascular Diseases

摘　　要：围手术期心肌梗死是拟行非心脏手术的患者发病和死亡的主要原因。而围手术期心肌梗死的发生率正随着外科手术与麻醉的发展和拟行外科手术人数的增多而逐渐升高。尽管有很多近期的研究、综述和指南均把非心脏手术围手术期心脏危险的评估,心肌缺血和心肌梗死的预防作为关注焦点,但有关围手术期心肌梗死一旦发生时相应处理方法的研究和报道仍为数不多。因此就主要对外科手术背景条件下的围手术期心肌梗死的流行病学和其可能的发生机制等进行介绍,同时对其诊断与治疗重点进行探讨。Perioperative myocardial infarction （PMI） is a major cause of morbidity and mortality in patients undergoing non-cardiac surgery. The incidence of PMI is likely to increase as surgery and anesthesia are increasingly being used on individuals undergoing non-cardiac surgery. Though numerous recent studies, reviews, and guidelines have focused on the perioperative cardiovascular evaluation （ especially the evaluation of isehemie heart disease） as well as the prevention of cardiac ischemia and myocardial infarction for non-cardiac surgical patients, few studies have focused on the treatment of PMI once it occurs. This article reviews the epidemiology, possible mechanisms, diagnosis, and treatment options for PMI in the surgical setting. We also suggest algorithms for treatment.

关 键 词：非心脏手术 围手术期 心肌梗死 

分 类 号：R619[医药卫生—外科学] R542.22[医药卫生—临床医学]