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经皮冠状动脉介入治疗时无再流的研究进展

Research Progress of No-reflow Phenomenon after Percutaneous Coronary Intervention
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摘要 无再流现象是指冠状动脉闭塞,血流中断后重新恢复血流,却无心肌组织的有效灌注的现象。经皮冠状动脉介入治疗已成为冠状动脉血运重建的重要手段,而再血管化后心肌组织的充分灌注至关重要,无再流的发生严重影响患者预后,因此减少无再流的发生率成为目前心血管领域研究的重要课题。本文综述无再流现象的发生情况、发生机制、检测方法、临床相关因素及最新治疗方法等临床研究进展。 No reflow phenomenon rdfers to non-effective perfusion in myocardittm when the flow regains al- ter flow blockage resulting from coronary artery occlusion. Percutaneous coronary intervention(PCI) is an impor- tant means for coronary arterial revascularization, 'after which the sufficient perfusion of myocardial tissue plays a crucial role The occmzence of no-reflow greatly affects the patients' prognosis, thus how to decrease the inci- dence rate of no-reflow is the hot-topic in the researches of cardiovascular disease currently. This article reviews clinical research progresses of no-reflow phenomenon about its attacking condition, pathogenesy, detecting method, clinical related factors and the lastest therapeutic methods.
作者 曾凤兰
机构地区 广西民族医院
出处 《医学综述》 2007年第24期2021-2023,共3页 Medical Recapitulate
关键词 经皮冠状动脉介入治疗 无再流现象 急性心肌梗死 Percutaneous coronary intervention No-reflow phenomenon Acute myocardial infarction
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