无复流现象的基础与临床

被引：5

作者：

张艳芳

机构：

[1] 黔江中心医院心内科

来源：

中国实用医药 | 2010年 / 5卷 / 30期

关键词：

无复流; 急性冠脉合征; 病理;

D O I：

10.14163/j.cnki.11-5547/r.2010.30.097

中图分类号：

R542.22 [];

学科分类号：

摘要：

及早完全恢复急性冠脉综合征后心肌血供是每一位心血管内科医生的挑战。然而,即使通过溶栓、血管成形术及冠脉搭桥术等恢复心外膜外血管的血流,也不能完全实现缺血心肌的再灌注。甚至部分患者再灌注之后可能使原有的心肌缺血性损伤进一步加重。其原因为再灌注后微血管损伤引发的心肌无复流现象。本文就无复流现象的病理过程及临床做一综述。

引用

页码：245 / 246

页数：2

共 3 条

[1] Comparison of two- versus three-dimensional myocardial contrast Echocardiography for assessing subendocardial perfusion abnormality after percutaneous coronary intervention in patients with acute myocardial infarction [J].

Iwakura, Katsuomi ;

Ito, Hiroshi ;

Okamura, Atsushi ;

Kurotobi, Toshiya ;

Koyama, Yasushi ;

Date, Motoo ;

Inoue, Koichi ;

Nagai, Hiroyuki ;

Imai, Michio ;

Arita, Yo ;

Toyoshima, Yuko ;

Ozawa, Makito ;

Fujii, Kenshi .

AMERICAN JOURNAL OF CARDIOLOGY, 2007, 100 (10) :1502-1510

[2] Distal protection improved reperfusion and reduced left ventricular dysfunction in patients with acute myocardial infarction who had angioscopically defined ruptured plaque [J].

Mizote, I ;

Ueda, Y ;

Ohtani, T ;

Shimizu, M ;

Takeda, Y ;

Oka, T ;

Tsujimoto, M ;

Hirayama, A ;

Hori, M ;

Kodama, K .

CIRCULATION, 2005, 112 (07) :1001-1007

[3]

Detection of embolic particles with the Doppler guide wire during coronary intervention in patients with acute myocardial infarction[J] . Atsunori Okamura,Hiroshi Ito,Katsuomi Iwakura,Shigeo Kawano,Koichi Inoue,Yoshihiro Maekawa,Toshio Ogihara,Kenshi Fujii.Journal of the American College of Cardiology . 2005 (2)

← 1 →