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急性心肌梗死中西医再灌注治疗策略 被引量:2

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摘要 近年来急性心肌梗死(AMI)在病理生理学、早期诊断、危险分层等方面均取得重要进展,成为临床识别的重要策略。AMI再灌注治疗存在人群与地区的不平衡性,在基层积极开展溶栓治疗仍属必要。经皮冠状动脉介入治疗(PCI)是再灌注治疗的首选措施,对于存在心源性休克的多支临界狭窄或高度不稳定病变实施一次性干预,以及新一代药物洗脱支架(DES)的应用成为急诊PCI的重要处理策略。在PCI辅助药物方面,应根据患者的血栓和出血风险决定双重抗血小板治疗(DAPT)的时程,对于无法耐受DAPT的患者给予中医药治疗可能开辟有效途径。
作者 王显
出处 《中国循证心血管医学杂志》 2015年第5期583-586,共4页 Chinese Journal of Evidence-Based Cardiovascular Medicine
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