STEMI患者溶栓后转诊PCI应注意的几个问题

Key points for transfer-PCI in the STEMI patients

急性ST段抬高性心肌梗死尽早开通闭塞血管是治疗的关键。早期直接冠状动脉介入术(pPCI)优于溶栓治疗。但对于不能行pPCI的患者,早期及时溶栓治疗仍是有效的方法。本文重点关注解决提高药物溶栓再通率、建立溶栓后立即转诊PCI的治疗模式、保障溶栓后转诊PCI患者的安全等问题。

Summary Reperfusion therapy should be initiated as early as possible for patient with acute ST segment ele vated myocardial infarction （STEMI）. Primary percutaneous coronary intervention （pPCI） is preferred to fibrino lytic therapy. For the patients whose pPCI is not available, the early use of thrombolytics is an alternative meth od. The article focuses on how to improve the revascularization rate of fibrinolytic therapy, how to achieve trans fer-PCI and how to insure the safety of the patient during transfer-PCI.