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围手术期心肌梗死是拟行非心脏手术的患者发病和死亡的主要原因。而围手术期心肌梗死的发生率正随着外科手术与麻醉的发展和拟行外科手术人数的增多而逐渐升高。尽管有很多近期的研究、综述和指南均把非心脏手术围手术期心脏危险的评估,心肌缺血和心肌梗死的预防作为关注焦点,但有关围手术期心肌梗死一旦发生时相应处理方法的研究和报道仍为数不多。因此就主要对外科手术背景条件下的围手术期心肌梗死的流行病学和其可能的发生机制等进行介绍,同时对其诊断与治疗重点进行探讨。
Perioperative myocardial infarction is the main cause of morbidity and mortality in patients undergoing noncardiac surgery. The incidence of perioperative myocardial infarction is increasing with the development of surgery and anesthesia and the number of surgical patients to be increased gradually. Although there are many recent studies, reviews, and guidelines that focus on perioperative cardiac risk assessment, prevention of myocardial ischemia, and myocardial infarction in non-cardiac surgery, studies on the appropriate treatment for perioperative myocardial infarction And the reports are still few. Therefore, we mainly introduce the epidemiology of perioperative myocardial infarction and its possible mechanism under the background of surgical operation. At the same time, we discuss the diagnosis and treatment of myocardial infarction.