急性亚急性支架内血栓[精华]

急性亚急性支架内血栓[精华] 急性亚急性支架内血栓 1 銆愮瘒鍚嶃?戝啝鐘跺姩鑴夋敮鏋跺唴鎬ユ?т簹鎬ユ?ц鏍撳舰鎴愮殑璇婃不浣撲細 銆愪綔鑰呫?戞枃浜氱孩,鏇炬檽鏂?璧甸绛? 戞攢鏋濊姳甯備腑蹇冨尰闄?績鍐呯,鍥涘窛銆愪綔鑰呭崟浣嶃? 鏀?鏋濊姳,617067 銆愬嚭澶勩?戝洓宸濆尰瀛?Sichuan Medical Journal2011,32(11) 銆怚SSN銆?004-0501 銆愰〉鐮併??708-1710 銆愭憳瑕併?戠洰鐨?鎺?鍐犵姸鍔ㄨ剦鏀灦鍐呮?ユ?т簹鎬ユ?ц鏍撳舰鎴愮殑鍘熷洜鍜屽鐞嗘柟娉?鏂规硶 鍥為【鎬у垎鏋愭垜闄?紑灞曞啝鑴変粙鍏ユ墜鏈互鏉ュ彂鐢熺殑璇婃柇鏄庣‘鐨勫啝鑴夋敮鏋跺唴鎬ユ?т簹鎬ユ?ц鏍撳舰鎴愮殑5渚嬫偅鑰呯殑鐥呭巻璧勬枡.缁撴灉 9骞撮棿鎬诲叡鏈?28渚嬫偅鑰呰鍐犺剦浠嬪叆鎵嬫湳,鍏卞彂鐢熷啝鑴夋敮鏋跺唴鎮,?т簹鎬ユ?ц鏍撳舰鎴?渚?鍙戠敓鐜?.54锛?鍐犺剦鏀灦鍐呮?ユ?т簹鎬ユ?ц鏍撳舰鎴愪笌鍐犺剦琛?绠,梾鍙橀暱,涓ラ噸閽欏寲鐥呭彉,琛?绠,粏灏?鏀灦鑶ㄨ儉涓嶅叏,鏀灦璐村涓嶈壇,鏀灦鏈畬鍏ㄨ鐩栫梾鍙?鏀灦閲嶅彔杩炴帴澶勬湭閲嶆暣,鏈悗鏉ュ潥鎸佸簲鐢ㄥ弻鑱旀姉琛?灏忔澘鑽墿鍙婃姉琛?灏忔澘鑽墿鎶垫姉鏈夊叧.鍐犺剦鏀灦鍐呮?ユ?т簹鎬ユ?ц鏍撳舰鎴愬婧舵爴鏁堟灉涓嶄匠,闇?鎬ヨ瘖琛孭TCA銆佽鏍撴娊鍚稿绠″紑閫氱浉鍏宠绠?骞跺己鍖栨姉鍑濇姉琛?灏忔澘娌荤枟.缁撹 鍐犺剦鏀灦鍐呮?ユ?с?佷簹鎬ユ?ц鏍撳舰鎴愪笌鎮,?呰绠,梾鍙樼壒鐐瑰強浠嬪叆鎿嶄綔绛夊洜绱犳湁鍏?鍐嶆鎬ヨ瘖 PTCA銆佽鏍撴娊鍚稿绠″紑閫氱浉鍏宠绠?槸娌荤枟鏀灦鍐呰鏍撳舰鎴愮殑棣栭?夋柟娉? 銆怐OI銆?0.3969/j.issn.1004-0501.2011.11.016 2 銆愮瘒鍚嶃?戠粡鐨啝鐘跺姩鑴変粙鍏ユ不鐤楁湳鍚庢?ユ?с?佷簹鎬ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮殑鍗遍櫓鍥犵礌鍒嗘瀽 銆愪綔鑰呫?戝紶鐕?浠昏壓铏?鍛ㄨ秴椋炵瓑 戜腑鍥戒汉姘戣В鏀惧啗鎬诲尰闄?蹇冭绠″銆愪綔鑰呭崟浣嶃? 唴绉?鍖椾含甯?100853;涓浗浜烘皯瑙,斁鍐涙?诲弬璋嬮儴绠,悊淇濋殰閮ㄤ繚鍋ュ 銆愬嚭澶勩?戜腑鍥藉惊鐜潅蹇?CHINESE CIRCULATION JOURNAL2013,28(1) 銆怚SSN銆?000-3614 銆愰〉鐮併??7-20 銆愭憳瑕併?戠洰鐨?鎺?缁忕毊鍐犵姸鍔ㄨ剦(鍐犺剦)浠嬪叆娌荤枟(PCI)鍚庢?ユ?с?佷簹鎬ユ?ф敮鏋跺唴琛?鏍撳舰鎴?AST/SST)鐨勫嵄闄?洜绱犲強鍏跺啝鑴夐?犲奖鐗圭偣,浠ユ棭鏈熻瘑鍒珮鍗辨偅鑰呭苟鍑忓皯璇ュ苟鍙戠棁鐨勫彂鐢?鏂规硶:鍥為【鎬у垎鏋?007- 01鑷?011- 01鏀舵不鐨勫啝蹇冪梾琛孭CI鏈? 129渚嬬殑涓村簥璧勬枡,鍏朵腑鍐犺剦閫犲奖璇佸疄AST/SST(AST/SST缁?43渚?鎸夊勾榫勩?佹?у埆(3鈭?)鍖归厤鍘熷垯鎶藉彇PCI鏈悗鏈嚭鐜癆ST/SST鑰?20渚嬩綔涓哄鐓х粍.閲囩敤logistic鍥炲綊妯″瀷鍒嗘瀽AST/SST鐨勭嫭绔嬪嵄闄?洜绱?缁撴灉:AST/SST骞冲潎鏃堕棿(4.1卤5.7)d.闄?唴姝讳骸 鐜?3.95%(6/43).AST/SST缁勭硸灏跨梾姣斾緥鍙婅鑲岄厫銆佺?鑵硅绯栭珮浜庡鐓х粍(P<0.05);AST/SST缁勬敮鏋剁疆鍏ュ墠1鍛ㄥ唴蹇冪粸鐥涘彂浣滃強1涓湀鍐呮?ユ?у績鑲屾姝诲彶姣斾緥鍧囬珮浜庡鐓х粍(P<0.05銆?lt;0.01),宸紓鍧囨湁缁熻瀛,剰涔?宸，績瀹ゅ皠琛?鍒嗘暟銆佽鍘嬨?佽鑴傜瓑鍚勯」鎸囨爣宸紓鍧囨棤缁熻瀛,剰涔?鍐犺剦閫犲奖AST/SST缁勫嚭鐜癇2/C鐥呭彉姣斾緥銆佹敮鏋惰创澹佷笉鑹瘮渚嬪拰鏀灦鏁扮洰鍧囬珮浜庡鐓х粍,宸紓鍧囨湁缁熻瀛,剰涔?P<0.05~0.01).搴旂敤鏉′欢logistic鍥炲綊鍒嗘瀽纭畾PCI鏈悗AST/SST鐨勭嫭绔嬪嵄闄?洜绱?绯栧翱鐥?姣斿?兼瘮 1.447,95%鍙俊鍖洪棿1.101~1.902,P=0.008)銆佹?ユ?у績鑲屾姝?姣斿?兼瘮7.177,95%鍙俊鍖洪棿1.956~26.328,P=0.003)銆佸鏀灦缃叆(姣斿?兼瘮2.186,95%鍙俊鍖洪棿 1.326~3.604,P=0.002)銆佹敮鏋惰创澹佷笉鑹?姣斿?兼瘮7.590,95% 俊鍖洪棿1.389~41.475,P=0.019)鏄疉ST/SST鐨勭嫭绔嬪嵄闄鍙 ?洜绱?楂樺乏蹇冨灏勮鍒嗘暟(姣斿?兼瘮0.988,95%鍙俊鍖洪棿0.979~0.998,P=0.016)鏄疨CI鏈悗骞跺彂AST/SST鐨勪繚鎶ゅ洜绱?P鍧?lt;0.05).缁撹绯栧翱鐥呫?佹?ユ?у績鑲屾姝汇?佸鏀灦缃叆銆佹敮鏋惰创澹佷笉鑹槸PCI鏈悗骞跺彂AST/SST鐨勭嫭绔嬪嵄闄?洜绱?楂樺乏蹇冨灏勮鍒嗘暟鏄疨CI鏈悗骞跺彂AST/SST鐨勪繚鎶ゅ洜绱? 銆怐OI銆?0.3969/j.issn.1000-3614.2013.01.006 3 銆愮瘒鍚嶃?戣嵂鐗?礂鑴辨敮鏋舵湳鍚庢?ユ?т簹鎬ユ?ц鏍撳彂鐢熺殑鍘熷洜鍙婃晳娌诲垎鏋? 銆愪綔鑰呫?戞潕蹇楃珛,鏇逛箟鎴?鑹炬案椋炵瓑 銆愪綔鑰呭崟浣嶃?戣В鏀惧啗绗洓鍐涘尰澶у鍞愰兘鍖婚櫌蹇冭剰鍐呯闄曡タ 瑗垮畨,710038;瑙,斁鍐涚鍥涘啗鍖诲ぇ瀛，攼閮藉尰闄??ヨ瘖绉? 闄曡タ 瑗垮畨,710038 銆愬嚭澶勩?戜腑鍥芥?ユ晳鍖诲 Care Medicine2014,(4) 銆怚SSN銆?002-1949 銆愰〉鐮併??27-330 銆愭憳瑕併?戠洰鐨勶細鍒嗘瀽鍐犵姸鍔ㄨ剦鑽墿娲楄劚鏀灦锛坉rug-eluting stent锛?DES锛夌疆鍏ユ湳鍚庢敮鏋跺唴鎬ユ?с?佷簹鎬ユ?ц鏍撳舰鎴愮殑鍘熷洜鍙婃晳娌绘帾鏂姐?傛柟娉曞洖椤炬?у垎鏋?007-12锝?012-12鎴戦櫌蹇冭剰鍐呯鍐犲績鐥呮偅鑰呰缃叆鏈悗43渚嬫偅鑰呭彂鐢熸?ユ?с?佷簹鎬ユ?ц鏍撶殑鏃堕棿銆侀儴浣嶃?佸洜绱犲強鏁戞不鎺柦銆傜粨鏋溾憼DES缃叆鏈?320渚嬶紝鏈悗鍙戠敓鏀灦鍐呮?ユ?с?佷簹鎬ユ?ц鏍?3渚嬶紝鍙戠敓鐜?锛?1锛咃紝姝讳骸9渚嬶紝姝讳骸 鐜?0锛?3锛呫?傝鏍撳舰鎴愭椂闂?锛?5锝?1锛?锛?卤4锛?锛?d銆傗憽鍙戠敓閮ㄤ綅锛氬乏鍓嶉檷鏀?3渚嬶紝宸，洖鏃嬫敮3渚嬶紝鍙冲啝鐘跺姩鑴?渚嬶紱鐥呭彉绫诲瀷锛欱/C鍨?9渚嬶紝 A鍨?渚嬶紱鍙戠敓琛?鏍撶殑琛?绠,洿寰勶細2锛? mm 19渚嬶紝3锛? mm ? mm 2渚嬨?傞澏琛?绠,殑鏀灦鏁板強闀垮害锛?22渚嬶紝3锛 鏋氫互涓?8渚嬶紝骞冲潎鐩村緞鍙婃?婚暱搴,紙2锛?7卤0.40锛塵m 脳锛?2锛?9卤7锛?2锛塵m锛?鏋?渚嬶紝骞冲潎锛?锛?8卤0锛?9锛塵m 脳锛?9锛?7卤4锛?6锛塵m銆傗憿鍘熷洜锛氳创澹佷笉鑹?9渚嬶紝灏忚绠,暱鐥呭彉14渚嬶紝鏀灦杩戣繙绔繃搴,墿寮犺嚧鍐呰啘鎾曡渚嬶紝姘悺鏍奸浄鎶垫姉3渚嬨?傗懀鏁戞不鎺柦锛氶噰鐢ㄧ洿寰勭暐澶х殑鐞冨泭楂樺帇鎵?紶琛?鏍撻儴浣?5渚嬶紝鏀灦杩戣繙绔啀缃叆涓?鏋氭敮鏋?渚嬨?傜粨璁鸿鏍撳舰鎴愪富瑕佷笌琛?绠,梾鍙樼壒鐐广?佺悆鍥婃墿寮犲悗琛?绠?崯浼ょ?搴,?佹敮鏋剁洿寰勫拰闀垮害銆佹隘鍚?牸闆锋姷鎶楃瓑鍥犵礌鏈夊叧锛屽鍙戠敓鍦ㄧ硸灏跨梾銆侀珮琛?鍘嬬梾銆佸鏀绠,梾鍙樸?佸墠闄嶆敮鐥呭彉銆佸讥婕鏉傜梾鍙樻偅鑰咃紱鎬ヨ瘖鍐嶆浠嬪叆娌荤枟鏄晳娌荤殑棣栬鎺柦銆? 銆怐OI銆?0.3969/j.issn.1002-1949.2014.04.009 4 銆愮瘒鍚嶃?戣秴鏁廋鍙嶅簲铔嬬櫧姘村钩瀵硅蛋杩囨?у績缁炵棝鎮,?呯粡鐨啝鐘跺姩鑴変粙鍏ユ湳鍚庝簹鎬ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮殑棰勬祴浠峰?肩爺绌? 銆愪綔鑰呫?戠帇閲戣壋,寮犲簡鍗?鍒樻檽鍧ょ瓑 銆愪綔鑰呭崟浣嶃?戝攼灞卞伐浜哄尰闄?績鍐呯娌冲寳鐪佸攼灞卞競,063000 銆愬嚭澶勩?戜腑鍥藉叏绉戝尰瀛?Chinese General Practice2014,17(11) 銆怚SSN銆?007-9572 銆愰〉鐮併??249-1252 銆愭憳瑕併?戠洰鐨?鎺?瓒呮晱C鍙嶅簲铔嬬櫧(hs-CRP)姘村钩 瀵硅蛋杩囨?у績缁炵棝鎮,?呯粡鐨啝鐘跺姩鑴変粙鍏ユ湳(PCI)鍚庝簹鎬ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮殑棰勬祴浠峰??鏂规硶 灏嗗攼灞卞伐浜哄尰闄?005骞?鏈?2012骞?2鏈堜綇闄?儴鍜岄棬璇婇儴鏀舵不鐨勮蛋杩囨?у績缁炵棝鎮,??96渚嬩綔涓烘不鐤楃粍,琛孭 悗24h 锝?0d鏄惁鍑虹幇浜氭?ユ?ф敮鏋跺CI骞朵笖鏍规嵁鏈 唴琛?鏍撳皢鍏跺垎涓轰簹鎬ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮粍鍜屾棤浜氭?ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮粍;閫夋嫨鍚屾湡鏉ヨ闄綋妫?鐨勫仴搴疯??0渚嬩綔涓哄鐓х粍.姣旇緝娌荤枟缁勬湳鍓嶅拰瀵圭収缁勭殑涓村簥璧勬枡;姣旇緝鏈悗浜氭?ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮粍銆佹棤浜氭?ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮粍鍜屽鐓х粍鐨刪s-CBP姘村钩銆佽鍘嬨?佸悓鍨嬪崐鑳辨皑閰?Hcy)銆佺硸鍖栬绾?泲鐧?HbA1c)銆佹?昏儐鍥洪唶(TC)銆佷笁閰扮敇娌?TG)銆佷綆瀵嗗害鑴傝泲鐧?LDL)鍜岄珮瀵嗗害鑴傝泲鐧?HDL).缁撴灉 娌荤枟缁勫拰瀵圭収缁勭殑鎬у埆銆佸勾榫勩?丅MI銆佸惛鐑熷彶銆侀珮琛?鍘嬬梾鍙层?佺硸灏跨梾鐥呭彶銆佽鍘嬨?丠cy銆丩DL銆丠DL銆丠bA1c銆乀C銆乀G姣旇緝,宸紓鍧囨棤缁熻瀛,剰涔?P锛?.05).娌荤枟缁凱CI鍚?6渚嬫偅鑰呭嚭鐜颁簹鎬ユ?ф敮鏋跺唴琛?鏍?瀵圭収缁勩?佷簹鎬ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮粍鍜屾棤浜氭?ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮粍鏈墠鐨刪s-CRP姘村钩鍒嗗埆涓?3.7卤1.2) mg/L銆?4.1卤1.4)mg/L鍜?4.1卤1.1) mg/L,3缁勯棿宸紓鏃犵粺璁鎰忎箟(F=0.32,P锛?.05).瀵圭収缁勪笌鎮,?呮湳鍚巋s-CRP姘村钩宄板?兼瘮杈?宸紓鏈夌粺璁鎰忎箟(P锛?.05).鏈悗浜氭?ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮粍鎮,?呯殑hs-CRP姘村钩宄板?奸珮浜庢棤浜氭?ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮粍鍜屽鐓х粍(P锛?.05);涓旀棤浜氭?ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮粍鎮,?呯殑hs-CRP姘村钩宄板?奸珮浜庡鐓х粍(P锛?.05).缁撹璧拌繃鎬у績缁炵棝鎮,?匬CI鍚巋s-CRP姘村钩鍗囬珮瀵逛簹鎬ユ?ф敮鏋跺唴琛?鏍撳舰鎴愬叿鏈変竴瀹氱殑棰勬祴浠峰?? 銆怐OI銆?0.3969/j.issn.1007-9572.2014.11.11 5 銆愮瘒鍚嶃?戝啝鐘跺姩鑴夋敮鏋跺唴浜氭?ユ?ц鏍撳舰鎴?渚? 銆愪綔鑰呫?戝瓩璐哄缓 銆愪綔鑰呭崟浣嶃?戣В鏀惧啗绗?51鍖婚櫌,娌冲寳,寮犲鍙?075000 銆愬嚭澶勩?戠幇浠,腑瑗垮尰缁撳悎鏉傚織,MODERN JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE2012,21(12) 銆怚SSN銆?008-8849 銆愰〉鐮併??342-1342 銆愭憳瑕併??1 鐥呭巻浠嬬粛鎮,??鐢?63宀?涓诲洜鍙戜綔鎬у績鍓嶅尯鐤肩棝3h鎬ヨ瘖鍏ラ櫌.鏃?線鏈夊惛鐑熷彶40浣欏勾,骞冲潎20鏀?d.鍚，楂樿鍘嬪強绯栧翱鐥呯梾鍙?鏌ヤ綋:琛?鍘?20/80mmHg(1mmHg=0.133kPa),鍙岃偤鍛煎惛闊虫竻,鏈椈鍙婂共婀挎?у暟闊?蹇冪巼70娆?min,寰嬮綈,蹇冪晫涓嶅ぇ,蹇冮煶浣庨挐,鍚勭摚鑶滃惉璇婂尯鏈椈鍙婄梾鐞嗘?ф潅闊?蹇冪數鍥剧ず:绐,?у績寰?V1-4瀵艰仈ST娈靛紦鑳屽悜涓婃姮楂?.3~0.5mV,涓嶵娉?崌鏀舰鎴愬崟鍚戞洸绾? 銆怐OI銆?0.3969/j.issn.1008-8849.2012.12.057 6 銆愮瘒鍚嶃?戦樋鍙稿尮鏋楁姷鎶楄嚧鏀灦鍐呭弽澶嶄簹鎬ユ?ц鏍?渚? 銆愪綔鑰呫?戝磾姘镐寒,鑻楃珛澶?榛勮秴鑱旂瓑 銆愪綔鑰呭崟浣嶃??00016,娓呭崕澶у绗竴闄勫睘鍖婚櫌蹇冨唴绉? 銆愬嚭澶勩?戝浗闄呭績琛?绠,梾鏉傚織,International Journal of Cardiovascular Disease2012,39(4) 銆怚SSN銆?673-6583 銆愰〉鐮併??55-256 銆愭憳瑕併?戞偅鑰?鐢锋??50宀?鍥犻棿鏂兏鐥涖?佽兏闂峰崐鏈堜綑鍏ラ櫌.鍏ラ櫌鍓?涓湀鏇句簬褰撳湴鍖婚櫌璇婃柇涓烘?ユ ?у墠澹佸績鑲屾姝?骞惰闈欒剦婧舵爴娌荤枟.鍏ラ櫌鍚庣粰浜堥樋鍙稿尮鏋?00mg/d銆佹隘鍚?牸闆?鍟嗗搧鍚嶆尝鍒?淮)75mg/d娌荤枟.鍐犺剦閫犲奖绀?宸，富骞?LM)杩滅鐙獎绾?0锛?宸，墠闄嶆敮(LAD)杩戞鍙婁腑娈甸暱鐥呭彉鐙獎杈?0锛?绗竴瀵硅鏀?D1)杩戞锛呭眬闄愭?х嫮绐?鍥炴棆鏀侀挐缂樻敮鏈 鏄庢樉鐙獎;鍙冲啝鐘跺姩鑴? RCA)杩戞闀跨梾鍙?鐙獎杈?5锛?杩滅琛?娴佸潎涓篢IMI 3绾?棣栧厛浜嶳CA杩戞缃叆YinYi3.5脳23 mm鏀灦,鐒跺悗搴旂敤Crush鎶?鏈簬LAD銆丏1杩戞鍒嗗埆缃叆Partner3.0脳36 mm銆之inYi3.5脳23 mm鏀灦瀵瑰惢閲婃斁. 銆怐OI銆?0.3969/j.issn.1673-6583.2012.04.020 7 銆愮瘒鍚嶃?戣娓卙s-CRP姘村钩瀵规?ユ?у績鑲屾姝籔CI鏈悗浜氭?ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮殑棰勬祴浠峰?? 銆愪綔鑰呫?戠帇鑼?鏉庡叴鏈?闂垫柊鏂囩瓑 銆愪綔鑰呭崟浣嶃?戞箹鍖楃渷鍗佸牥甯備笢椋庢?诲尰闄?婀栧寳鍗佸牥,442000 銆愬嚭澶勩?戞捣鍗楀尰瀛，櫌瀛,姤,Journal of Hainan Medical University2013,19(8) 銆怚SSN銆?007-1237 銆愰〉鐮併??042-1044,1047 銆愭憳瑕併?戠洰鐨?鎺?琛?娓呴珮鏁廋鍙嶅簲铔嬬櫧(hs-CRP)姘村钩瀵规?ユ?у績鑲屾姝荤粡鐨啝鐘跺姩鑴変粙鍏ユ不鐤?PCI)鏈悗浜氭?ユ?ф敮鏋跺唴琛?鏍撳舰鎴愮殑棰勬祴浠峰??鏂规硶:鏀堕泦鎴戦櫌鐨?20渚嬫?ユ?у績鑲屾姝绘偅鑰呯殑涓村簥璧勬枡,鍧囪鐩存帴PCI鎵嬫湳娌荤枟,灏嗗叾鍒嗕负浜氭?ユ?ф敮鏋惰鏍撶粍(n=45)鍜岄潪浜氭?ユ?ф敮鏋惰鏍撶粍(n=75).鍧囦簬鎵嬫湳鍓嶅悗6h鎶藉叾闈欒剦琛?娴嬪畾hs-CRP,涔嬪悗姣?2 h娴嬪畾1娆?鑷?2 h涔嬪悗,鏀逛负姣?4 h娴嬪畾1娆?杩炵画娴嬪畾1鍛?寰楀嚭鍏舵渶澶у??宄板??.缁撴灉:浜氭?ユ?ф敮鏋惰鏍撶粍鎮 ,?卙s-CRP宄板?间负(29.39卤4.19)mg/L,鏄庢樉楂樹簬闈炰簹鎬ユ?ф敮鏋惰鏍撶粍鎮,?卙s-CRP宄板??16.10卤3.27) mg/L,宸紓鍏锋湁缁熻瀛,剰涔?P锛?.01).缁撹琛?娓卙s-CRP姘村钩娴嬪畾瀵规?ユ?у績鑲屾姝籔CI鏈悗浜氭?ユ?ф敮鏋跺唴琛 硷紱浜氭?ユ?ф敮鏋跺唴?鏍撳舰鎴愬叿鏈夎緝楂樼殑棰勬祴浠峰? 琛?鏍撲笌琛?娓匟s-CRP宄板?兼按骞冲憟姝,浉鍏? 8 銆愮瘒鍚嶃?戝鏉傚啝鐘跺姩鑴夌梾鍙樹粙鍏ユ不鐤楀悗搴旂敤鏇跨綏闈炵彮棰勯槻鎬ユ?ф敮鏋惰鏍撶殑鐤楁晥鍙婂畨鍏ㄦ?? 銆愪綔鑰呫?戦檲娴峰潥,鑾姊侀噾鏄ョ瓑 銆愪綔鑰呭崟浣嶃?戝箍涓滅渷楂樺窞甯備汉姘戝尰闄?績琛?绠″唴绉?骞夸笢楂樺窞,525200 銆愬嚭澶勩?戝箔鍗楀績琛?绠,梾鏉傚織,South China Journal of Cardiovascular Diseases2013,19(4) 銆怚SSN銆?007-9688 銆愰〉鐮併??24-426,449 銆愭憳瑕併?戠洰鐨?瑙傚療鏇跨綏闈炵彮棰勯槻澶嶆潅鍐犵姸鍔ㄨ剦鐥呭彉鎮,?呬粙鍏ユ不鐤楀悗鎬ユ?с?佷簹鎬ユ?ф敮鏋惰鏍撶殑鐤楁晥,浠ュ強璇勪环鍏跺畨鍏ㄦ??鏂规硶 灏?008骞?鏈堣嚦2012骞?2鏈堝湪楂樺窞甯備汉姘戝尰闄綇闄?殑200渚嬪啝鐘跺姩鑴夌播鏍风‖鍖栨?у績鑴忕梾(鍐犲績鐥?澶嶆潅鍐犵姸鍔ㄨ剦鐥呭彉浠嬪叆娌荤枟鍚庢偅鑰呮寜闅忔満鏁板瓧琛ㄦ硶闅忔満鍒嗕负2缁?娌荤枟缁?00渚?鍦ㄩ樋鍙稿尮鏋椼?佹隘鍚?牸闆峰父瑙勫熀纭?涓婁簣鏇跨綏闈炵彮璐熻嵎閲?鍚庣淮鎸侀噺24h;瀵圭収缁?00渚?鍦ㄩ樋鍙稿尮鏋椼?佹隘鍚?牸闆峰父瑙勫熀纭?涓?鏈悗鐢ㄤ綆鍒嗗瓙鑲濈礌鎶楀嚌娌荤枟3d.瑙傚療涓ょ粍鏀灦琛?鏍撳強鍑鸿骞跺彂鐥?缁撴灉 娌荤枟缁勫啝鐘跺姩鑴夌梾鍙樹腑B2銆丆鍨嬬梾鍙樺垎鍒负63渚嬨??7渚?瀵圭収缁勪负70渚嬨??0渚?娌荤枟缁勪笌瀵圭収缁勬鍏ユ敮鏋剁殑鏁伴噺鍙婃鍏ユ敮鏋剁殑鎬婚暱 搴,瘮杈?宸紓鍧囨棤缁熻瀛,剰涔塠(3.1卤1.3)鏋歷s.(2.9卤1.2)鏋?P锛?.05锛?32.4卤13.8) mm vs.(33.2卤12.7) mm,P锛?.05].娌荤枟缁勬?ユ?ф敮鏋惰鏍撳舰鎴愪綆浜庡鐓х粍,宸紓鏈夌粺璁浜嗘剰涔塠2锛?2/100) vs.7 ?.05].涓ょ粍鍑鸿骞跺彂鐥囩殑鍙戠敓锛?7/100),x2=45.82,P锛 鐜囨瘮杈?宸紓鏃犵粺璁鎰忎箟[12锛?12/100)vs.9锛?9/100),x2=5.18,P锛?.05].缁撹澶嶆潅鍐犵姸鍔ㄨ剦鐥呭彉鎮,?匬CI娌荤枟鍚庝娇鐢ㄦ浛缃楅潪鐝槸瀹夊叏鐨?涓旈檷浣庝簡鏀灦鍐呮?ユ?с?佷簹鎬ユ?ц鏍撳彂鐢熺巼. 銆怐OI銆?0.3969/j.issn.1007-9688.2013.04.014 9 銆愮瘒鍚嶃?慞CI鏈悗浣忛櫌鏈熼棿鏀灦鍐呮?ユ?т簹鎬ユ?ц鏍撳舰鎴?2渚? 銆愪綔鑰呫?戝渤宄?鍚村己,寮犻檲鍖?绛? 銆愪綔鑰呭崟浣嶃?戣吹宸炵渷浜烘皯鍖婚櫌蹇冨唴绉?璐靛窞 璐甸槼,550002;璐靛窞鐪佷汉姘戝尰闄?嵂鍓傜 銆愬嚭澶勩?戜腑鍥借?佸勾瀛,潅蹇?Chinese Journal of Gerontology2014,(9) 銆怚SSN銆?005-9202 銆愰〉鐮併??558-2559 銆愭憳瑕併?戠粡鐨啝鐘跺姩鑴変粙鍏ユ湳锛?PCI锛夋槸閽堝蹇冭剰鍐犵姸鍔ㄨ剦鐙獎鐨勬偅鑰呴噰鍙栫殑涓?绉嶆不鐤楁柟寮忥紝鐜板凡鎴愪负鏈夋晥娌荤枟鍐犲績鐥呯殑閲嶈鎵嬫涔嬩竴銆?锛?銆曘?傛敮鏋跺唴鎬ユ?т簹鎬ユ?ц鏍撴槸鍐犵姸鍔ㄨ剦浠嬪叆鏈悗灏戣鐨勫苟鍙戠棁锛屼弗閲嶅嵄鍙婃偅鑰呯殑鐢熷懡銆?銆曘?傝嵂鐗?敮鏋舵椂浠,紝鏈墠銆佹湳鍚庡父瑙勫簲鐢ㄦ姉琛?灏忔澘鑱氶泦鍜屾姉鍑濊嵂鐗?不鐤楋紝浠嶆湭鑳藉畬鍏ㄦ潨缁濇敮鏋跺唴琛?鏍擄紙 ST锛夌殑鍙戠敓銆?ST鐨勫彂鐢熶笌澶氱鍥犵礌鐩稿叧锛屽叾鍗遍櫓鍥犵礌鍖呮嫭鎶楄灏忔澘娌荤枟銆佹敮鏋跺洜绱犮?佷粙鍏ユ搷浣滃洜绱犮?佹偅鑰呭強鐥呭彉鍥犵礌绛夈??銆曘?傛湰鏂囨嫙鎺?鐨勫彂鐢熷師鍥犲強闃叉不绛栫暐銆? 銆怐OI銆?0.3969/j.issn.1005-9202.2014.09.117 10 銆愮瘒鍚嶃?戞浛缃楅潪鏂戝浠嬪叆娌荤枟鍚庢敮鏋跺唴浜氭?ユц鏍撳舰鎴愮殑褰卞搷鐮旂? ? 銆愪綔鑰呫?戦檲娴峰潥,鑾姊侀噾鏄ョ瓑 銆愪綔鑰呭崟浣嶃?戝箍涓滅渷楂樺窞甯備汉姘戝尰闄?骞夸笢,楂樺窞,525200 銆愬嚭澶勩?戜腑鍥藉尰瀛，垱鏂?MEDICAL INNOVATION OF CHINA2012,09(24) 銆怚SSN銆?674-4985 銆愰〉鐮併??1-22 銆愭憳瑕併?戠洰鐨?鎺?鏇跨綏闈炴枒瀵圭粡鐨啝鐘跺姩鑴変粙鍏ユ不鐤?(PCI) 鍚庢敮鏋跺唴浜氭?ユ?ц鏍撳舰鎴愮殑褰卞搷.鏂规硶:灏?45 渚嬫敮鏋跺唴浜氭?ユ?ц鏍撳舰鎴愭偅鑰呴殢鏈哄垎涓鸿瀵熺粍鍜屽鐓х粍,瑙傚療缁勫湪鐩愰吀鏇跨綏闈炴枒 10 渭g/kg 3 min 闈欒剦鎺ㄦ敞,缁т互 0.15 渭g/(kg路min) 鎸佺画鐐规淮鍚?琛屾?ヨ瘖 PCI,鏈悗缁х画缁存寔 48 h;瀵圭収缁勭洿鎺ュ啀娆鎬ヨ瘖 PCI.缁撴灉:瑙傚療缁勪腑 26 渚?ST 娈靛洖钀?瀵圭収缁?4 渚?ST 娈靛洖钀?涓ょ粍姣旇緝,宸紓鏈夌粺璁鎰忎箟 (P<0.05) ;瑙傚療缁?TIMI琛?娴?2锝? 绾ц??24 渚?瀵圭収缁?6 渚?涓ょ粍姣旇緝,宸紓鏈夌粺璁鎰忎箟 (P<0.05);瑙傚療缁勮交銆佷腑搴，嚭琛?鍙戠敓鐜囧浜庡鐓х粍,宸紓鏈夌粺璁鎰忎箟 (P<0.05);涓ょ粍鍧囨湭鍑虹幇涓ラ噸鍑鸿缁撹鑱斿悎闈欒剦鎺ㄦ敞澶у墏閲忔浛缃楅潪鏂?鑳界紦瑙,偅鑰呰兏鐥涚殑鐥囩姸,鏀瑰杽蹇冪數鍥惧強蹇冭倢閰惰氨鎯呭喌,鏀瑰杽鍐犺剦琛?娴?浠庤?屽噺灏戜簹鎬ユ?ф敮鏋跺唴鐨勮鏍撻噺,鍖栬В娓呴櫎閮ㄥ垎鎴栧叏閮ㄦ敮鏋跺唴鐨勮鏍?涓村簥鏁堟灉濂?鍊煎緱鎺ㄥ箍搴旂敤. 銆怐OI銆?0.3969/j.issn.1674-4985.2012.24.010 11 銆愮瘒鍚嶃?戣嵂鐗?礂鑴辨敮鏋跺唴鎬ユ?у拰浜氭?ユ?ц鏍撳舰鎴愮殑椋庨櫓璇勪及 銆愪綔鑰呫?戝紶鎮?鍒樻柊鏂?鏂硅垷绛? 銆愪綔鑰呭崟浣嶃??10013鏉窞甯?娴欐睙鍖婚櫌蹇冨唴绉?涓浗 诲尰闄??佸勾蹇冨唴绉? 浜烘皯瑙,斁鍐涙? 銆愬嚭澶勩?戝績鐢典笌寰幆,Journal of Electrocardiology and Circulation2013,(3) 銆怚SSN銆?095-3933 銆愰〉鐮併??57-160 銆愭憳瑕併?戠洰鐨勬帰璁ㄨ嵂鐗?礂鑴辨敮鏋?DES)妞嶅叆鍚庢敮鏋跺唴鎬ユ?у拰浜氭?ユ?ц鏍撳舰鎴愮殑鍗遍櫓鍥犵礌.鏂规硶鍥為【鎬у垎鏋?550渚嬭妞嶅叆鏈殑鍐犲績鐥呮偅鑰呬腑鍙戠敓鎬ユ?у拰浜氭?ユ?ц鏍撶殑鎮,??2渚?琛?鏍撶粍),骞堕殢鏈烘娊鍙栨湭鍙戠敓鏀灦鍐呰鏍撶殑鎮,??0渚?闈炶鏍撶粍).瀵逛袱缁勬偅鑰呴殢璁?~12涓湀,姣旇緝涓昏涓嶈壇浜嬩欢鐨勫彂鐢熸儏鍐?浣跨敤澶氬洜绱犻?昏緫鍥炲綊鍒嗘瀽娉曞琛?鏍撳舰鎴愯繘琛岄闄?瘎浼?缁撴灉闅忚鏈熼棿琛?鏍撶粍鐨勪富瑕佷笉鑹簨浠跺彂鐢熺巼楂樹簬闈炶鏍撶粍,宸紓鏈夋樉钁楃粺璁鎰忎箟(P<0.01).鏀灦妞嶅叆涓嶈壇銆侀樋鍙稿尮鏋?姘悺鏍奸浄鎶垫姉銆侀珮鍑濈姸鎬併?佷綆琛?鍘嬨?佷綆琛?瀹归噺鐘舵?佸潎涓庢?ユ?у拰浜氭?ユ?ц鏍撳舰鎴愮浉鍏?鍧嘝<0.05).缁撹鏀灦妞嶅叆涓嶈壇銆侀樋鍙稿尮鏋?姘悺鏍奸浄鎶垫姉銆侀珮鍑濈姸鎬併?佷綆琛?鍘嬪拰浣庤瀹归噺鐘舵?佹槸DES妞嶅叆鏈悗鎮,?呭彂鐢熸?ユ?у拰浜氭?ユ?ц鏍撳舰鎴愮殑楂樺嵄鍥犵礌. 12 銆愮瘒鍚嶃?戣嵂鐗?敮鏋剁疆鍏ュ悗鏀灦鍐呬簹鎬ユ?ц鏍撳舰鎴愪复搴婂垎鏋? 銆愪綔鑰呫?戦繚鍐?楂樼埍鐜?鏉庤帀濞熺瓑 銆愪綔鑰呭崟浣嶃?戠劍浣滃競浜烘皯鍖婚櫌蹇冨唴绉?娌冲崡鐪?454000 銆愬嚭澶勩?戜腑鍗庡疄鐢ㄨ瘖鏂笌娌荤枟鏉傚織,Journla of Chinese Practical Diagnosis and Therapy2012,26(3) 銆怚SSN銆?674-3474 -277 銆愰〉鐮併??75 銆愭憳瑕併?戠洰鐨? 鎺?鑽墿娲楄劚鏀灦缃叆鍚庢敮鏋跺唴浜氭?ユ?ц鏍撳舰鎴愮殑鍥犵礌鍙婃不鐤楁帾鏂?鏂规硶 鍥為【鎬у垎鏋?5渚嬬疆鍏ヨ嵂鐗?礂鑴辨敮鏋跺悗鍙戠敓鏀灦鍐呬簹鎬ユ?ц鏍撴偅鑰呯殑涓村簥璧勬枡.缁撴灉 15渚嬫偅鑰呬腑鎬ユ?у績鑲屾姝?渚?鏀灦鍐呰鏍撳舰鎴愬彂鐢熶簬鏀灦缃叆鍚?6 h锝? d锛涜鏍撳舰鎴愬悗12渚嬭鎬ヨ瘖鍐犵姸鍔ㄨ剦鍐呭翱婵?閰舵憾鏍?11渚嬪瓨娲?1渚嬫浜?紱3渚嬫湭琛屽啝鐘跺姩鑴夊翱婵?閰舵憾鏍撹?呬腑1渚嬪瓨娲?2渚嬫浜?缁撹鎬ユ?у績鑲屾姝讳负鏀灦鍐呬簹鎬ユ?ц鏍撳舰鎴愮殑楂樺嵄鍥犵礌,鍐犵姸鍔ㄨ剦鍐呭翱婵?閰舵憾鏍撴不鐤?鍙敼鍠勬偅鑰呴鍚? 13 銆愮瘒鍚嶃?戠粡鐨啝鐘跺姩鑴変粙鍏ユ不鐤楁湳鍚庝簹鎬ユ?ф敮鏋跺唴琛?鏍撳舰鎴?渚? 銆愪綔鑰呫?戠?椋?寮犲瘑,鍛ㄦ槑绛? 銆愪綔鑰呭崟浣嶃?戞箹鍖楀尰鑽闄?檮灞炲お鍜屽尰闄?績鍐呯婀栧寳甯傚崄鍫板競,442000 銆愬嚭澶勩?戜复搴婂悎鐞嗙敤鑽潅蹇?CHINESE JOURNAL OF CLINICAL RATIONAL DRUG USE2013,6(31) 銆怚SSN銆?674-3296 銆愰〉鐮併??40-140 銆愭憳瑕併??鎮,??鐢?68宀?涓诲洜鑳搁椃銆佽兏鐥?涓湀鍏ラ櫌,鏃?線鏈夐珮琛?鍘嬬梾鐥呭彶12骞?鏈?楂樿鍘?90/100mm Hg,骞虫椂瑙勫緥鏈嶇敤缂矙鍧,?佹皑姘湴骞崇墖,琛?鍘嬫帶鍒跺湪130/80mm Hg宸，彸,鍚，绯栧翱鐥呫?佽倽鐐庛?佺粨鏍哥梾鍙?鍚哥儫鍙诧紴40骞?姣忓ぉ鍚哥儫20鏍?鏌ヤ綋:T 36.8鈩?HR 76 娆?min,R 18娆?min,BP 132/78mm Hg,鍙岃偤鍛煎惛闊虫竻鏅?鏈椈鍙婃槑鏄惧共婀挎?у暟闊?蹇冪晫涓嶅ぇ,寰嬮綈,鍚勭摚鑶滃惉璇婂尯鏃犵梾鐞嗘?ф潅闊? 14 戦鍐呮敮鏋舵鍏ユ湳鍚庢敮鏋跺唴浜氭?ユ?ц鏍銆愮瘒鍚嶃? 撳舰鎴愪复搴婂垎鏋? 銆愪綔鑰呫?戞垰绾儨,鏉庢厧鑼?鏈卞嚖姘寸瓑 銆愪綔鑰呭崟浣嶃?戞渤鍗楃鎶?澶у绗竴闄勫睘鍖婚櫌绁炵粡鍐呯娲涢槼,471003;棣栭兘鍖荤澶у瀹,鍖婚櫌浠嬪叆鏀惧皠璇婃柇娌荤枟涓績,鍖椾含,100053 銆愬嚭澶勩?戜腑鍥藉疄鐢ㄧ缁忕柧鐥呮潅蹇?CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES2011,14(15) 銆怚SSN銆?673-5110 銆愰〉鐮併??4-16 銆愭憳瑕併?戠洰鐨?鎺?棰呭唴鏀灦妞嶅叆鏈悗浜氭?ユ?ц鏍撳舰鎴愮殑涓村簥鐗圭偣.鏂规硶 鍒嗘瀽2渚嬮鍐呮敮鏋舵鍏ユ湳鍚庝簹鎬ユ?ц鏍撳舰鎴愮殑涓村簥璧勬枡骞跺涔犵浉鍏虫枃鐚?缁撴灉 2渚嬪潎涓哄ぇ鑴戜腑鍔ㄨ剦M1娈电嫮绐勬敮鏋舵鍏ユ湳鍚?鍧囩粡鍙婃椂鐨勫姩鑴夋憾鏍撳啀閫?婧舵爴鍚庡姞澶ф姉琛?灏忔澘鑽墿鐢ㄩ噺銆佸欢闀挎姉鍑濇不鐤楁椂闂存湭鍐嶅鍙?缁撹鎶楄灏忔澘銆佹姉鍑濇不鐤椾笉瓒冲彲鑳芥槸棰呭唴鏀灦妞嶅叆鏈悗浜氭?ユ?ц鏍撳舰鎴愮殑閲嶈鍘熷洜,琛?鏍撳舰鎴愬悗鍙婃椂鐨勫姩鑴夋憾鏍?婧舵爴鏈悗寮哄寲鎶楄灏忔澘銆佹姉鍑濇不鐤?鍙兘鍙栧緱鑹ソ鐨勭枟鏁? 銆怐OI銆?0.3969/j.issn.1673-5110.2011.15.006 15 銆愮瘒鍚嶃?慞CI鏈悗鏀灦鍐呬簹鎬ユ?ц鏍撳舰鎴?渚? 銆愪綔鑰呫?戠敯鏀?,鏇归洩婊?寮犲垰绛? 銆愪綔鑰呭崟浣嶃?戣В鏀惧啗绗?52鍖婚櫌, 淇濆畾,071000 銆愬嚭澶勩?戜腑鍥藉惊璇佸績琛?绠″尰瀛,潅 蹇? , Chinese Journal of Evidence-Bases Cardiovascular Medicine 2013,(6) 銆怚SSN銆?674-4055 銆愰〉鐮併??53-654 銆愭憳瑕併?戞敮鏋跺唴琛?鏍撳舰鎴愭槸鍐犵姸鍔ㄨ剦锛堝啝鑴夛級浠嬪叆鏈悗灏戣銆佷絾鍗翠弗閲嶃?佺敋鑷冲彲鍗卞強鐢熷懡绛夊苟鍙戠棁銆傝櫧鐒惰嵂鐗?秱灞傛敮鏋剁殑骞挎硾搴旂敤宸茬粡澶уぇ闄嶄綆浜嗗啝鑴夊唴鏀灦鍐嶇嫮绐勭殑鍙戠敓鐜嘯1]锛屼絾鏀灦鍐呰鏍撳舰鎴愪粛鐒舵槸涓村簥涓婅緝涓烘鎵嬬殑闂锛屽叾褰?垚涓庡绉嶅洜绱犵浉鍏炽?傜幇灏嗘垜绉戞敹娌荤瓑鍐犺剦浠嬪叆鏈悗鏀灦鍐呬簹鎬ユ?ц鏍撳舰鎴愭姠鏁戞垚鍔?渚嬫姤鍛婂涓嬨?? 銆怐OI銆?0.3969/j.1674-4055.2013.06.31 16 銆愮瘒鍚嶃?戝弽澶嶄簹鎬ユ?ф敮鏋跺唴琛?鏍撳舰鎴愪竴渚? 銆愪綔鑰呫?戞埓鏁?鍚曟爲閾?瀹嬬幇娑涚瓑 銆愪綔鑰呭崟浣嶃??00029,棣栭兘鍖荤澶у闄勫睘鍖椾含瀹夎礊鍖婚櫌鍖椾含甯傚績鑲虹柧鐥呯爺绌舵墍 銆愬嚭澶勩?戜腑鍗庡績琛?绠,梾鏉傚織,Chinese Journal of Cardiology2014,42(3) 銆怚SSN銆?253-3758 銆愰〉鐮併??54-255 銆愭憳瑕併?戞偅鑰呯敺鎬?70宀?鍥?鍙戜綔鎬ц兏鐥涖?佽兏闂峰崐骞?鍔犻噸8h"浜?012骞?鏈?0鏃ュ叆闄?8h鍓嶇獊鍙戝績鍓嶅尯鎲 嬮椃銆佺柤鐥?浼存皵淇冦?佸ぇ姹椼?佹伓蹇冦?佸憰鍚?鎸佺画绾?h.鏃?線楂樿鍘嬬梾鍙?5骞?鍚哥儫鍙?0骞?20鏀?d).蹇冪數鍥剧ず瀹屽叏鎬у彸鏉熸敮浼犲闃绘粸,V2 锝?V5瀵艰仈ST娈垫姮楂?.2锝?.5 mV.鑲岄挋铔嬬櫧鈪?18.7渭g/L,鑲岄吀婵?閰?66 U/L,鑲岄吀婵?閰跺悓宸ラ叾(CK-MB) 42.0渭g/L.璇婃柇涓烘?ユ娈垫姮楂樺瀷蹇冭倢姊楁鍙,湇闃垮徃鍖规灄300 mg銆佹隘鍚?牸闆?00 mg鍚?琛屾?ヨ瘖鍐犵姸鍔ㄨ剦閫犲奖,缁撴灉绀哄乏鍓嶉檷鏀繎娈?00锛呴棴濉? 銆怐OI銆?0.3760/cma.j.issn.0253-3758.2014.03.015 17 銆愮瘒鍚嶃?戝啝鐘跺姩鑴夋敮鏋跺唴浜氭?ユ?ц鏍撳舰鎴愮殑涓村簥鍒嗘瀽 銆愪綔鑰呫?戞潕鐖辩惔,閮戞捣鍐? 銆愪綔鑰呭崟浣嶃??54002,娌冲崡鐪佺劍浣滃競 浜烘皯鍖婚櫌蹇冨唴绉? 銆愬嚭澶勩?戜腑鍥藉疄鐢ㄥ尰鍒?Chinese Journal of Practical Medicine2011,39(19) 銆怚SSN銆?674-4756 銆愰〉鐮併??5-76 銆愭憳瑕併?戠洰鐨?鎺?鍐犵姸鍔ㄨ剦浠嬪叆娌荤枟鏈悗( PCI)鏀灦鍐呬簹鎬ユ?ц鏍撳舰鎴愮殑涓村簥鐗瑰緛銆佺浉鍏冲洜绱犲強娌荤枟鎺柦.鏂规硶 鍥為【鎬у垎鏋愭敮鏋跺唴浜氭?ユ?ц鏍撳舰鎴愮殑鎮,?呯殑涓村簥鍙婂啝鐘跺姩鑴夐?犲奖(CAG)鐗圭偣,璇勪环娌荤枟鏂规硶鐨勭枟鏁?缁撴灉 鍐犵姸鍔ㄨ剦浠嬪叆娌荤枟(PCI)鍚?锝?6d.7渚嬪啝鐘跺姩鑴夐?犲奖(CAG)璇佸疄琛?鏍撳舰鎴?1渚嬮櫌澶栫対姝?琛?鏍撳舰鎴愬悗鐨勪复搴婅浆褰?6渚嬩负鎬ユ?у績鑲屾姝?AMI),鍏朵腑2渚嬫浜?1渚嬫棤鐥囩姸.缁撹浜氭?ユ?ц鏍撳舰鎴愭槸閲戝睘瑁告敮鏋?BMS)鍜岃嵂鐗?礂鑴辨敮鏋?DES)缃叆鏈悗寰堝皯鍙戠敓鐨?浣嗘槸闈炲父涓ラ噸鐨勫苟鍙戠棁.鍙兘涓庢妧鏈洜绱犳湁鍏?棰勯槻鐨勬柟娉曟 槸鏈?浣崇殑鏀灦閲婃斁.鐥呭洜瀛，笂鏄鍥犵礌鐨?鎵?浠ヨ澶氭柟闈?洜绱犵殑瑙,喅.琛?鏍撴娊鍚稿绠?礋鍘嬫娊鍚?鍙嶅鐞冨泭鎵?紶(PTCA)鎴栭噸鏂扮疆鍏ユ敮鏋朵粛鏄富瑕佹不鐤楁柟娉? ?0.3760/cma.j.issn.1674-4756.2011.19.034銆怐OI銆 18 銆愮瘒鍚嶃?戜簹鎬ユ?ф敮鏋跺唴琛?鏍撳舰鎴愪竴渚? 銆愪綔鑰呫?戝悤瀹皯,鐜嬫捣鑻?鏇逛害瀹剧瓑 銆愪綔鑰呭崟浣嶃?戞渤鍖楃渷鍞愬北甯傚伐浜哄尰闄?缁忓唴绉戜簩鐥呭尯,063000 銆愬嚭澶勩?戜复搴婃斁灏勫鏉傚織,JOURNAL OF CLINICAL RADIOLOGY2011,30(5) 銆怚SSN銆?001-9324 銆愰〉鐮併??48-649 銆愭憳瑕併??鎮,?呯敺,49 宀?鍥犲弽澶嶅彂浣滄?ф剰璇嗛殰纰?40 浣欏ぉ,鍐嶅彂 2 h 鍏ラ櫌.鎮,?呬簬 40 澶?墠灏遍鏃剁獊鍙戠湬鏅?瑙嗙墿鎴愬弻,鎭跺績鍛曞悙,鎰忚瘑闅滅鍏ラ櫌浣撴涓害鏄忚糠,鍛堝幓澶ц剳寮虹洿鐘舵??鍙屼晶鐬冲瓟鐩村緞宸?鍙?2:3,瀵瑰厜鍙嶅皠鐏垫晱,鍙屼晶鐥呯悊寰侀槼鎬?鐥囩姸鎸佺画绾?2 h 鑷缂撹В.缁欎簣鑲濈礌閽?3000 U 闈欒剦娉ㄥ皠,1000 U/h 鎸佺画闈欒剦娉靛叆.1 澶?悗,鎮,?呯棁鐘跺畬鍏ㄧ紦瑙?缁х画缁欎簣浣庡垎瀛愯倽绱犻挔鐨笅娉ㄥ皠. 19 銆愮瘒鍚嶃?戝啝鐘跺姩鑴夋敮鏋跺唴琛?鏍撳舰鎴愮殑涓村簥鐗瑰緛涓庡鐞? 銆愪綔鑰呫?戦粍鏅撳?,闄堟紶姘?閭?尝绛? 銆愪綔鑰呭崟浣嶃?戜腑鍗楀ぇ瀛,箻闆呭尰瀛，櫌闄勫睘娴峰彛鍖婚櫌蹇冭绠″唴绉?娴峰崡娴峰彛,570208 銆愬嚭澶勩?戞捣鍗楀尰瀛?HAINAN MEDICAL JOURNAL2011,22(3) 銆怚SSN銆?003-6350 銆愰〉鐮併??4-66 戠洰鐨?鎺?鍐犵姸鍔ㄨ剦鏀灦鍐呰鏍撳舰鎴愮銆愭憳瑕併? 梾渚嬬殑涓村簥鐗圭偣銆佹不鐤楁柟娉曞強鍏跺師鍥?鏂规硶 鍒嗘瀽4渚婸CI娌荤枟鍚庡彂鐢熸敮鏋跺唴琛?鏍撶殑鎮,?呯殑涓村簥璧勬枡,鍒嗘瀽鍙戠敓鏀灦鍐呰鏍撶殑涓村簥鐗瑰緛鍙婅鏍撳舰鎴愬師鍥?缁撴灉 4渚嬫偅鑰呬腑,鎬ユ?ц鏍?渚?浜氭?ユ?ц鏍?渚?杩熷彂鏅氭湡琛?鏍?渚?4渚嬪潎鍐嶆琛孭CI鏈?鍐嶉?氳绠?鐥囩姸娑堝け.鍏跺彂鐢熶笌澶氶噸鍗遍櫓鍥犵礌銆佸鏉傜梾鍙樸?佸仠鐢ㄦ姉琛?灏忔澘鑽墿绛夋湁鍏?缁撹鍐犵姸鍔ㄨ剦鏀灦妞嶅叆鏈悗鏈夊彂鐢熸敮鏋跺唴琛?鏍撶殑鍙兘,搴斿紩璧烽噸瑙?鍐嶆娌荤枟鏄閫夋不鐤楁柟娉? 銆怐OI銆?0.3969/j.issn.1003-6350.2011.03.019 20 銆愮瘒鍚嶃?戣嵂鐗?礂鑴辨敮鏋跺唴鎬ユ?у拰浜氭?ユ?ц鏍撳舰鎴?渚嬫姤鍛? 銆愪綔鑰呫?戦瞾娑,鍚村己,寮犻檲鍖?绛? 銆愪綔鑰呭崟浣嶃?戣吹宸炵渷浜烘皯鍖婚櫌鍗楁槑鍫傞棬璇婇儴,550002;璐靛窞鐪佷汉姘戝尰闄?績鍐呯 銆愬嚭澶勩?戣吹宸炲尰鑽?Guizhou Medical Journal2012,36(3) 銆怚SSN銆?000-744X 銆愰〉鐮併??50-251 銆愭憳瑕併?戠粡鐨啝鐘跺姩鑴夊唴鏀灦妞嶅叆(CASI)鏄洰鍓嶆不鐤楀啝鐘跺姩鑴変弗閲嶇嫮绐勬垨闂鐥呭彉,鏀瑰杽蹇冭倢渚涜鐨勬湁鏁堟墜娈?鏀灦鍐呰鏍撳舰鎴?ST)鏄即闅忕潃CASI寮?灞曡?屽紩璧峰箍娉涘叧娉ㄧ殑涓ラ噸骞跺彂鐥?灏界鐩墠涓村簥宸插湪CASI鏈墠鍜屾湳鍚庡父瑙勫簲鐢ㄦ姉琛?灏忔澘 鑱氶泦鍜屾姉鍑濊嵂鐗?不鐤?浣嗕粛鏈畬鍏ㄦ潨缁漇T鐨勫彂鐢?鏈枃鎶ュ憡鎴戦櫌2002骞?鏈堣嚦2011骞?1鏈堟湡闂? 169渚嬫鍏ヨ嵂鐗?礂鑴辨敮鏋?DES)鐥呬緥涓苟鍙慡T鐨?渚嬩綇闄?偅鑰?骞剁粨鍚堟枃鐚帰璁?T鐨勫彂鐢熸満鍒跺強闃叉不绛栫暐. 銆怐OI銆?0.3969/j.ISSN.1000-744X.2012.03.020 21 銆愮瘒鍚嶃?戝啝鐘跺姩鑴塒CI鏈悗鎬ユ?т簹鎬ユ?ц鏍撳舰鎴?渚嬩复搴婂垎鏋? 銆愪綔鑰呫?戝江瓒?鐜嬫湞瀵?鍒樺叏涔夌瓑 銆愪綔鑰呭崟浣嶃?戣吹宸炵渷鍏翠箟甯備汉姘戝尰闄?績鍐呯562400;璐甸槼鍖诲闄?檮灞炲尰闄?績鍐呯 銆愬嚭澶勩?戣吹宸炲尰鑽?Guizhou Medical Journal2012,36(6) 銆怚SSN銆?000-744X 銆愰〉鐮併??33-534 銆愭憳瑕併?戣繎骞存潵,缁忕毊鍐犵姸鍔ㄨ剦浠嬪叆娌荤枟(percutaneous coronary intervention,PCI)宸叉垚涓烘?ユ?у啝鑴夌患鍚堢棁(acute coronary syndromes,ACS)鐨勯閫夋不鐤楁柟娉曞凡缁忓熀鏈垚鐔?骞跺繁鍦ㄥ浗鍐呭箍娉涘紑灞?鍐犺剦鏀灦鍐呰鏍撳舰鎴?Stent thrombosis,ST)鏄疨CI鐨勪弗閲嶅苟鍙戠棁,铏界劧鍏跺彂鐢熺巼浠呬负0.7锛匸1],浣嗗叾鐥呮鐜囬珮杈?7.5锛匸2].鑻ヤ笉鍙婃椂澶勭悊,鍒欏彲瀵艰嚧鑷存鎬у悗鏋?鎴戦櫌2007骞?鏈堣嚦2011骞?2鏈堝叡琛孭CI鏈?31渚?鍏辨湁7渚嬪彂鐢熶簡鎬ユ?у強浜氭?ユ?у啝鑴夊唴鏀灦琛?鏍撳舰鎴?Stent thrombosis,ST),鍏朵腑鎬ユ??渚?浜氭?ユ??渚?鐜板垎鏋愭?荤粨濡備笅,鏃ㄥ湪鎻愰珮鏈腑鍙婃湳鍚庣殑闃茶寖鎰忚瘑. 銆怐OI銆?0.3969/j.ISSN.1000-744X.2012.06.020