再灌注心律失常的发生机制_类型与治疗_钱俊.pdf

2008 29 4 Adv CardiovascD is, July 2008, ol. 29, N o. 4 # 567# 钱 俊 综述 张亚臣 审校 ( 上海交通大学医学院附属新华医院心内科, 上海 200092) M echan ism s, Typ es and T reatm en t of R eperfusion A rrhythm ia Q IAN Jun, ZHANG Y a-chen (Department of Card iology, X inhuaH osp italAff iliated to School of M ed icine, Shanghai Jiaotong University, Shanghai 200092, China) : 1004-39 34 ( 2008) 04-0567-04 : R541 7 : A : 急性心肌梗死患者 经皮冠状动脉介人治疗术和溶栓治疗中常可见再灌注心律失常, 其发生与多种因素相关: 氧自由 基钙离子细胞间耦联自主神经及体液系统等再灌注心律失常有多种类型及特点再灌注心律失常的出现可作为判断再灌注 较为可靠的指标 : ; A bstrac t: R ep erfu sion arrhythm ia is common a fter p ercutaneou s corona ry intervention, and f ibr inolytic therapy in pa tients w ith acute 2 + m yoca rd ia l infarction M any factors a re assoc iated w ith its occurrence su ch as oxy rad ica,l Ca , couple betw een ce lls, and ischem ic precond -i tion T he re are severa l typ es and features o f rep erfu sion arrhythm ia The occurrence of rep erfu sion arrhy thm ia is a relativ ely reliable index fo r judg ing rep erfu sion K ey w ord s: rep erfu sion a rrhy thm ia; rep erfu sion a rrhy thm ia; acute myocardial infa rction; acute m yo ca rdia l infarction , ( AM I) RA / : ( PC I) Bezo ld-Jarisch , , , , , , , [ 4] ( RA ) , , RA , , , ( ) ( , [ 5] ) , , , , 50% ~ 80% , , , , DNA