血栓抽血在急诊PCI中应用的研究进展

Application of blood clots with emergency PCI

目的急诊冠状动脉介入治疗(PPCI)是目前处理急性ST段抬高型心肌梗死的主要方法,如何解决急诊冠状动脉介入治疗的微循环损伤一直是临床心血管医生面临的难题。方法基于以往研究,分别从冠状血栓形成机制、血栓抽吸的临床意义以及目前的临床血栓抽血研究情况和成功的影响因素进行分析。结果急诊冠状动脉介入治疗,减少急性心肌梗死患者血栓的负载,明显降低冠状动脉血栓和远端栓塞,可以实现患者的迅速恢复血流,减少无复流的发生率和病死率情况,改善患者术后康复情况,血栓抽吸成功的影响因素,与操作者技术有关,与患者发病时间有关,还与患者自身情况有关,如患者的年龄、病变血管粗细、性质以及血栓程度有关,其中患者年龄为失败的独立影响因素。结论通过血栓再抽吸联合心肌再灌注,获得良好短期临床预后。但远期临床预后结果不一致,对于死亡、再梗死研究尚不足以定论,尚需进一步研究。

Objective Emergency percutaneous coronary intervention （PPCI） was the main method for treatment of acute ST segment elevation myocardial infarction,＆amp;nbsp;and how to solve the emergency treatment of coronary intervention in the treatment of patients with acute coronary artery disease. Methods Based on previous studies, the clinical significance of coronary thrombosis, thrombus aspiration, and the factors affecting the success of clinical thrombosis were analyzed.Results The acute myocardial infarction in patients with acute myocardial infarction, reduce the load, significantly reduce coronary artery thrombosis and distal embolization, can achieve rapid recovery of patients, reduce the incidence and mortality of patients, improve the patient＇s recovery, and the success of the treatment of patients with the disease.Conclusion The short-term clinical outcome was obtained by the combination of thrombus aspiration combined with myocardial reperfusion. However, the long-term clinical outcome was not consistent, and the study of death, re infarction is not conclusive, it needed to be further studied.