急性心肌梗死合并多支血管病变的治疗原则被引量：8

Therapeutic Principle of Acute Myocardial Infarction with Multivessel Disease

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摘要对急性心肌梗死合并多支血管病变进行急诊介入治疗时,一次性经皮冠状动脉介入治疗(PCI)策略弊大于利。国内外相关指南都不建议在进行梗死相关血管急诊PCI同时去干预非梗死相关血管。遵循救命第一、养生第二以及最大获益最低风险原则,科学运用评估体系,仅对那些梗死相关血管急诊PCI后,血液动力学仍不稳定的个体,才考虑非梗死血管PCI的特殊需求。 One‐time multivessel percutaneous intervention （PCI） has more disadvantage than advantage for treatment of acute myocardial infarction .National or international guidelines do not suggest doing PCI on the non‐infarction related vessels while acute PCI on infarction related coronary artery was finished .The principle needs to be followed that saving life is the first and providing health caresevice is the second .The benefits should be maximized with the lowest risks . Based on the scientific evaluation system ,PCI of non‐infarction related vessels may be considered to perform only on the patient with unstable hemodynamics after completion of PCI on infarction related vessel .

作者赵学

机构地区第二军医大学第三附属医院心内科

出处《医学与哲学（B）》 2015年第3期8-11,共4页 Medicine & Philosophy(B)

关键词冠状动脉心肌梗死血运重建 coronary artery myocardial infarction revascularization

分类号 R541.4 [医药卫生—心血管疾病]

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