急性心肌梗塞的介入治疗.pptVIP

急性心肌梗塞的介入治疗 北京朝阳医院心脏中心 王乐丰 为什么AMI后需PCI 不完全AMI后残余狭窄所至缺血症状 溶栓治疗后持续或间断缺血症状 急性期替代溶栓治疗 定义 Primary or Direct－直接PTCA immediate－即刻PTCA deferred－延迟PTCA Rescue－挽救PTCA Faciliated－易化或加快PTCA 溶栓治疗的缺陷 Failure of clot lysis Incomplete reperfusion Early hazard Hemorrhagic complication Contraindications to thrombolysis 优点 Better short long term outcomes Higher success rate Lower rate of recurrent ischaemia, reocclusion,