经皮冠脉介入治疗相关无复流现象的研究进展  

Contemporary Progress of No-reflow Phenomenon in Patients Undergoing Percutaneous Coronary Intervention

作　　者：黄瑶(综述) 张志(审校) Huang Yao;Zhang Zhi(Postgraduate Training Base of Jinzhou Medical University,Dalian No.3 People′s Hospital;Department of Cardiology,Dalian No.3 People′s Hospital,Dalian 116000 China)

机构地区：[1]锦州医科大学大连市第三人民医院研究生培养基地 [2]大连市第三人民医院心内三科,辽宁大连116000

出　　处：《锦州医科大学学报》2023年第1期108-112,F0003,共6页Journal of Jinzhou Medical University

基　　金：大连市医学科学研究计划项目,项目编号:2111006。

摘　　要：经皮冠状动脉介入术(percutaneous coronary intervention,PCI)为目前临床上治疗急性心肌梗死(acute myocardial infarction,AMI)最主要的方法之一。无复流现象指冠状动脉解除机械性阻塞后仍无法恢复有效灌注,其发生与缺血性损伤、微血管栓塞等所致的冠脉微循环结构及功能障碍密切相关,已经严重影响到患者预后。现对如何尽早预防、有效处理无复流现象进行探讨,并综述该现象分类、诊断方法及治疗策略的最新发现,为AMI患者提供更安全有效的治疗策略。Percutaneous coronary intervention(PCI)is one of the most important clinical treatment of acute myocardial infarction(AMI).No-reflow phenomenon refers to the failure to restore effective perfusion after the mechanical blockage of the coronary artery is removed,and its occurrence is closely related to the structure and dysfunction of coronary microcirculation caused by ischemic injury and microvascular embolization,which has seriously affected the prognosis of patients.This article discusses how to prevent and treat the non-reflux-free phenomenon as early as possible,and reviews the latest findings on the classification,diagnosis and treatment strategies of this phenomenon,so as to provide safer and more effective treatment strategies for AMI patients.

关 键 词：急性心肌梗死 冠状动脉无复流 经皮冠脉介入术 预防 治疗 

分 类 号：R541.4[医药卫生—心血管疾病]