ST段抬高型心肌梗死患者PCI后发生无复流现象的机制、预测方法及防治手段  

Mechanisms,Prediction Methods,and Prevention Methods of No-Reflow Phenomenon after Percutaneous Coronary Intervention in Patients with Acute ST Segment Elevation Myocardial Infarction

作　　者：上官震宇 刘晓建[1] SHANGGUAN Zhenyu;LIU Xiaojian(Department of Cardiovascular Medicine,Heji Hospital,Changzhi Medical College,Changzhi 046000,China)

机构地区：[1]长治医学院附属和济医院心血管内科,山西省长治市046000

出　　处：《实用心脑肺血管病杂志》2023年第10期21-25,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：山西省医药卫生科技发展计划项目(17KPPX0165)。

摘　　要：无复流现象(NRP)是影响ST段抬高型心肌梗死(STEMI)患者PCI获益的常见并发症之一,随着检查技术的发展,人们对于NRP的重视程度逐渐增加。本文回顾了STEMI患者PCI后发生NRP的各种机制,并且归纳了目前常用的一些预测方法及防治手段。经过分析表明,早期预测NRP并采取相应的防治手段,可以增加STEMI患者的PCI获益及改善患者预后,然而在STEMI患者PCI前如何快速、简便地筛查NRP高危人群仍值得进一步探索。No-reflow phenomenon(NRP)is one of the common complications that affect the benefits of percutaneous coronary intervention(PCI)in patients with acute ST segment elevation myocardial infarction(STEMI).With the development of examination techniques,people's attention to NRP is gradually increasing.This article reviews the various mechanisms of NRP in STEMI patients after PCI,and summarizes some commonly used prediction methods and prevention and treatment methods.After analysis,it has been shown that early prediction of NRP and corresponding prevention and treatment measures can increase PCI benefits and improve prognosis in STEMI patients.However,further exploration is still needed on how to quickly and easily screen high-risk populations for NRP before PCI in STEMI patients.

关 键 词：ST段抬高型心肌梗死 经皮冠状动脉介入治疗 无复流现象 综述 

分 类 号：R542.22[医药卫生—心血管疾病]