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冠心病经皮冠状动脉介入治疗术后慢血流或无复流研究进展

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冠心病(CHD)作为常见的心血管疾病,严重危害人类健康,其中ST段抬高型心肌梗死(STEMI)致死率较高,及时有效地解决犯罪血管十分重要.经皮冠状动脉介入治疗(PCI)是STEMI患者的首选再灌注治疗方法,能够有效解决血管阻塞问题.然而,部分患者术后会发生冠状动脉慢血流(CSF)或无复流(NR)现象,严重影响预后.本文对CSF/NR的定义、诊断、流行病学、预测因素、机制及治疗作一综述,以期为冠心病PCI术后CSF/NR整体临床把控给予一定的指导.
Research progress on coronary slow flow or no-reflow of coronary heart disease undergoing percutaneous coronary intervention surgery
Coronary heart disease(CHD),a prevalent cardiovascular disorder,poses a significant threat to human health.Particularly,ST-segment elevation myocardial infarction(STEMI)is associated with a higher mortality rate.Timely and effec-tive revascularization of the culprit vessels is crucial.Percutaneous coronary intervention(PCI)is a preferred and critical treatment mo-dality for STEMI patients,effectively addressing vascular obstruction.However,a subset of patients experiences coronary slow flow(CSF)or no-reflow(NR)postoperatively,which severely impacts their prognosis.This article provides a comprehensive review of the definition,diagnosis,epidemiology,predictive factors,mechanisms,and treatment of CSF/NR,aiming to offer guidance for the clini-cal management of these complications following PCI in CHD patients.

Coronary heart diseasePercutaneous coronary interventionsCoronary slow flowNo-reflow

王梦迪、曾敏

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海南医科大学附属海南医院医疗保健中心,海口 570311

冠心病 经皮冠状动脉介入 冠状动脉慢血流 无复流

2025

国际老年医学杂志
吉林大学

国际老年医学杂志

影响因子:0.435
ISSN:1674-7593
年,卷(期):2025.46(1)