缩短心肌总缺血时间对STEMI患者预后影响综述
Review Effect of Shortening Total Myocardial Ischemia Time on Prognosis of Patients with Acute ST-Segment Elevated Myocardial Infarction
DOI: 10.12677/ACM.2020.101007, PDF,    科研立项经费支持
作者: 李艳苹：昆明医科大学，云南 昆明；唐永研, 郭 涛：云南省阜外心血管病医院，云南 昆明
关键词: 心肌总缺血时间；STEMI；SO-to-FMC；FMC-to-B；D-to-B；SO-to-B；预后；Total Myocardial Ischemia Time； STEMI； SO-to-FMC； FMC-to-B； D-to-B； SO-to-B； Prognosis
摘要: 急性ST段抬高型心肌梗死(Acute ST-segment Elevation Myocardial Infarction，STEMI)以发病率高、致残率高、致死率高为特点，不能及时救治将严重威胁患者的生命。STEMI的病理生理过程赋予了其时间决定性的特性。只有早期、快速、有效地开通阻塞血管，恢复心肌细胞的血流供应，才能及时挽救大片心肌，使患者获得有益的治疗效果和转归。但是选择何种治疗方案和策略，由患者的临床状况及所在的时间空间等因素共同决定。因此不论选择何种治疗方案和策略，都要和时间赛跑。缩短心肌总缺血时间，争取尽早开通梗死相关血管(Infarction Related Artery，IRA)是第一要事。本文就缩短心肌总缺血时间对STEMI患者预后的影响作简要综述。
Abstract: Acute ST-segment elevation myocardial infarction is characterized by high morbidity, high disability rate, and high mortality. Failure to treat the patient opportunely will seriously threaten people’s life. The pathophysiological process of STEMI endows its time-decisive characteristics. Only early, rapid, and complete opening of blocked blood vessels can restore the bloodstream of myocardial cells and save large areas of myocardium in time. Early, timely and correct treatment can enable patients to obtain benefits and pass a crisis. The choice of treatment plan and strategy is determined by the patient’s clinical condition and spatio-temporal limitation. Regardless of the treatment plan and strategy, it is necessary to race against time, shorten the total myocardial ischemia time, and strive to open the Infarct-related blood vessels (IRA) as soon as possible. In this paper, the effect of shortening the time of total myocardial ischemia on the prognosis of patients with STEMI was reviewed.
文章引用：李艳苹, 唐永研, 郭涛. 缩短心肌总缺血时间对STEMI患者预后影响综述[J]. 临床医学进展, 2020, 10(1): 35-41. https://doi.org/10.12677/ACM.2020.101007

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