论文部分内容阅读
目的急诊冠状动脉介入治疗(PPCI)是目前处理急性ST段抬高型心肌梗死的主要方法,如何解决急诊冠状动脉介入治疗的微循环损伤一直是临床心血管医生面临的难题。方法基于以往研究,分别从冠状血栓形成机制、血栓抽吸的临床意义以及目前的临床血栓抽血研究情况和成功的影响因素进行分析。结果急诊冠状动脉介入治疗,减少急性心肌梗死患者血栓的负载,明显降低冠状动脉血栓和远端栓塞,可以实现患者的迅速恢复血流,减少无复流的发生率和病死率情况,改善患者术后康复情况,血栓抽吸成功的影响因素,与操作者技术有关,与患者发病时间有关,还与患者自身情况有关,如患者的年龄、病变血管粗细、性质以及血栓程度有关,其中患者年龄为失败的独立影响因素。结论通过血栓再抽吸联合心肌再灌注,获得良好短期临床预后。但远期临床预后结果不一致,对于死亡、再梗死研究尚不足以定论,尚需进一步研究。
Objective PPCI is the main method to treat acute STEMI. How to solve the microcirculation injury in emergency PCI has been a difficult problem for clinical cardiologists. Methods Based on previous studies, we analyzed the clinical significance of coronary thrombosis, thrombus aspiration, and the current clinical research on thrombus blood drawing and the influencing factors of success. Results Emergency coronary intervention reduced the load of thrombus in patients with acute myocardial infarction and significantly decreased coronary thrombosis and distal embolism, which could result in rapid recovery of blood flow, reduction of the incidence of no-reflow and mortality, and improvement of patient’s operation Post-rehabilitation, thrombophlebitis success factors, and operator technology, and the patient’s onset time, but also with the patient’s own situation, such as the patient’s age, vascular thickness, the nature of the disease and the degree of thrombosis, in which the patient’s age The independent factor of failure. Conclusions Good short-term clinical outcomes are obtained by thrombus resuscitation combined with myocardial reperfusion. However, the long-term outcome of clinical outcomes is inconsistent, the study of death and reinfarction is not yet conclusive, further study is needed.