冠脉内血栓和无复流现象的机制及防治进展  

Mechanism of coronary artery thrombosis and no-reflow phenomenon and progresses of its prevention and treatment

作　　者：郭利玲 李飞[1] 周静[1] 高峰[1] 

机构地区：[1]延安大学附属医院心内科三病区,陕西延安716000

出　　处：《海南医学》2017年第5期798-801,共4页Hainan Medical Journal

基　　金：陕西省延安市科学技术局项目(编号:2013-KW02)

摘　　要：直接经皮冠脉介入(p PCI)目前已成为急性ST段抬高型心肌梗死(STEMI)患者的首选策略,虽然p PCI能获得较好的临床疗效,但即使在成功的介入治疗后,无复流和冠脉血栓远端栓塞依然存在。本文就近年来PCI介入治疗中无复流和冠脉血栓远端栓塞的形成、机制及其防治做一综述。Primary percutaneous coronary intervention（p PCI） has become the first choice for the acute ST-segment elevation myocardial infarction patients. Although p PCI has good clinical effect, the no-reflow phenomenon and distal embolization of coronary artery thrombus still exist after the successful interventions. In this article, we review the mechanism and prevention in distal embolization of coronary thrombosis and no-reflow phenomenon in the PCI treatment in recent years.

关 键 词：心肌梗死 无复流现象 血栓 经皮冠脉介入 

分 类 号：R543.3[医药卫生—心血管疾病]