急性冠状动脉综合征危险分层与治疗决策

Dangerous Layering and Therapeutic Strategies of Acute Conoary Syndrome

急性冠状动脉综合征(ACS)是临床常见的急危重症,及时有效的处理与患者的预后密切相关。是应用药物保守治疗或是早期有创治疗,一直是临床争论的焦点。目前认为较为合理的治疗策略是先对ACS患者进行危险分层,对中高危患者尽早行经皮冠状动脉成形术等有创治疗;对ST段抬高的ACS,首选直接经皮冠状动脉成形术,当然,充分抗心肌缺血治疗、抗血小板治疗、抗凝治疗及调脂治疗也是必要的,还要根据当地医院的具体条件,并结合患者的意愿和经济状况给予治疗。

Acute Conoary Syndrome（ACS） is the common dangerous severe diseases in clinic,of which effective treatment in time is closely related to prognosis of patients.Whether to carry out the conservative medicine treatment or early creative treatment has been controversial issue in clinic.Now,the reasonable therapeutic measure at present is to carry out dangerous layering for patients,invasive therapy such as Percuteaneous Coronary Interrention（PCI） should be carried out earlier in patients with middle and high dangerous.PCI also is the first choice of patients with elevated ST segment.Of course,it is necerry to have such therapies as anti-myocardial ischemia,antiplatelet,anti-coagulation and lipid modulation.We also should carry out therapy for patients in the general consideration of concrete condition of local hospital,willings and economic condition of patients.