经皮冠状动脉介入治疗术后冠状动脉无复流研究进展  

Progress in Coronary No-reflow Phenomenon after Primary Percutaneous Coronary Intervention

作　　者：苏笑赢[1] 黄定[1] 

机构地区：[1]新疆医科大学第一附属医院冠心病二科,新疆乌鲁木齐市830054

出　　处：《中国全科医学》2013年第12期1319-1323,共5页Chinese General Practice

摘　　要：冠状动脉无复流是指血管造影显示无血管机械性阻塞的证据,而冠状动脉循环所支配的节段心肌出现灌注不足的一种现象。急性心肌梗死时急诊经皮冠状动脉介入治疗术后常可出现无复流。无复流可造成病情恶化,并发症和死亡率增加。本文对无复流的定义和分类、可能的发病机制、危险因素、预测因素、预防及治疗方法做一综述。No -flow coronary of coronary artery is the phenomenon, which prove no vascular mechanical obstruction by arteriography and is shortage of the segment myocardial perfusion dominated by the coronary circulation. No - reflow may occur after emergency percutaneous coronary intervention for acute myocardial infarction, it can lead to the deterioration of diseases, complication and increase the mortality. The concept, classification, possible mechanisms, risk factor, predictor, prevention and treatment methods of no - reflow are summarized in this review.

关 键 词：心肌梗死 血管成形术 经腔 经皮冠状动脉 无复流现象 

分 类 号：R543.3[医药卫生—心血管疾病]