冠心病介入治疗后并发急性脑卒中的研究进展  

Research progress in acute stroke after percutaneous coronary intervention

作　　者：贾丁[1] 王雷[1] 

机构地区：[1]首都医科大学附属北京友谊医院心血管中心

出　　处：《中华老年多器官疾病杂志》2016年第6期477-480,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：冠心病的发病率逐年增高，并逐渐成为心脏病住院和死亡的首要原因。经皮冠状动脉介入治疗（PCI）能够明显改善冠心病患者的生活质量，因其操作简便、痛苦小、风险小、术后恢复快等诸多优点，已成为冠心病治疗的首选方式。但PCI术后可能并发脑卒中，虽然发生率低，但后果极为严重，危及生命，存活者也大多合并不同程度的肢体功能障碍或不全失语等。本文将对冠心病患者PCI术后并发急性脑卒中的发病机制、危险因素、治疗及预后等方面作一综述。Coronary artery disease, with its incidence being gradually increased, has become the leading cause of heart attack hospitalizations and deaths. Percutaneous coronary intervention （PCI） significantly improves the quality of life in the patients with coronary artery disease. What＇ s more, PCI has been regarded as the first choice for the patients because of its simple operation, less painfulness, small risk, fast recovery, and other advantages. However, it may cause acute stroke, though with very low incidence. But the consequences are very serious, and even life threatening. The survivals usually are complicated with different severity of aphasia and extremity dysfunction and other symptoms. In this article, we reviewed the pathogenic mechanism, risk factors, treatment and prognosis of acute stroke in the patients with coronary artery disease after PCI.

关 键 词：冠心病 经皮冠状动脉介入治疗 急性脑卒中 

分 类 号：R541[医药卫生—心血管疾病]