自发性冠状动脉夹层是一种少见的冠状动脉疾病,主要表现为冠状动脉内膜自发撕裂或冠状动脉壁内出血形成血管夹层,是年轻妇女、尤其是围产期妇女急性心肌梗死或猝死的重要原因。近年来,随着介入技术的发展,自发性冠状动脉夹层的研究进一步深入。自发性冠状动脉夹层发病机制复杂,临床多表现为危重急症,需尽早诊断和治疗。 Spontaneous coronary artery dissection is a rare coronary artery disease, mainly manifested as spontaneous rip incision of the coronary artery or coronary artery wall hemorrhage formation of vascular dissection, young women, especially perinatal women with acute myocardial infarction or sudden death is important the reason. In recent years, with the interventional technology, spontaneous coronary dissection research further. The pathogenesis of spontaneous coronary artery dissection is complex, clinical manifestations of critical illness, need to be diagnosed and treated as soon as possible.