易化的经皮冠脉介入治疗——急性心肌梗死治疗新策略

Facilitated Percutaneous Coronary Intervention—A New Strategy for Acute Myocardial Infarction

急性心肌梗死再灌注治疗的方法主要包括溶栓和紧急经皮冠脉介入治疗,其中溶栓治疗简单易行,但再灌注不充分,并且再闭塞率高;而直接经皮冠脉介入治疗,可以恢复心外膜血管的血流,血管的开通率高,但是只有在有条件的医院才能进行,而对于急性心肌梗死来讲,血管开通的时间是最重要的,因此,人们试图通过将溶栓治疗和经皮冠脉介入治疗联合应用来发挥各自的优势,尽量减少缺陷来尽快恢复心脏血流供给,也就是采用易化经皮冠脉介入治疗的方法来治疗急性ST段抬高心肌梗死,从而获得梗死相关动脉更早的开通和更高的开通率。

Thrombolysis and primary percutaneous coronary intervention （PCI） are two major methods of reperfusion in acute myocardial infarction （ AMI ）. However, thrombolysis therapy has a lower rate of patency of infarction-related artery （ IRA ） , and a higher rate of reinfarction, primary PCI has a higher rate of patency of IRA, but can only be performed in a few medical centres. Time is critical in cases of AMI. Doctors therefore want to combine thrombolysis with PCI in order to restore blood flow of IRA as soon as possible and at the same time, obtain the highest rate of patency of IRA.