急性冠状动脉综合征外科治疗

董念国; 李华东

doi:10.13201/j.issn.1001-1439.2014.07.002

急性冠状动脉综合征外科治疗

董念国^,,
李华东

- 华中科技大学附属协和医院心血管外科(武汉, 430022)

详细信息

通讯作者: 董念国,E-mail:dongnianguo@hotmail.com

中图分类号: R541.4

收稿日期: 2014-06-11

Surgical treatment in acute coronary syndrome

DONG Nianguo^,,
LI Huadong

- Department of Cardiac Surgery, Union Hospital, Huazhong University of Science and Technology, Wuhan, 430022, China

More Information

Corresponding author: DONG Nianguo, E-mail: dongnianguo@hotmail.com

Received Date: 11 June 2014

摘要

摘要: 急性冠状动脉综合征 (acute coronary syndrome, ACS) 是一种常见的严重心血管疾病。随着新技术的出现及诊疗手段的不断改进与完善, ACS的治疗效果有了很大的进步。本文主要从手术适应证、主动脉内球囊反搏在ACS中的应用、ACS手术方式选择、ACS围手术期抗血小板治疗这4个方面简述外科在治疗ACS中的现状及进展。
- 急性冠状动脉综合征 /
- 主动脉内球囊反搏 /
- 冠状动脉搭桥术 /
- 抗血小板治疗
Abstract: Acute coronary syndrome (ACS) is a common serious cardiovascular disease.With the emergence of new technologies and continuous improvement of treatment means, the therapeutic effect of ACS has made great progress.Here, we will briefly summarize present situation and progress of surgery in the treatment of ACS from four aspects:the surgical indications, IABP application in ACS, ACS surgical options and antiplatelet therapy in perioperative period of ACS.
- acute coronary syndrome /
- intra-aortic balloon pump /
- coronary artery bypass grafting /
- antiplatelet therapy

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参考文献(8)

[1]	MONTEIRO P.Impact of early coronary artery bypass graft in an unselected acute coronary syndrome patient population[J].Circulation, 2006, 114 (1 Suppl):I467-472.
[2]	O'GARA P T, KUSHNER F G, ASCHEIM D D, et al.2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction:A report of the American College Of Cardiology Foundation/American Heart Association task force on practice guidelines[J].J Am Coll Cardiol, 2013, 61:e78-140.
[3]	BERGH N, ANGERAS O, ALBERTSSON P, et al.Does the timing of treatment with intra-aortic balloon counterpulsation in cardiogenic shock due to ST-elevation myocardial infarction affect survival?[J].Acute Card Care, 2014, 16:57-62.
[4]	PARISSIS H, LEOTSINIDIS M, AKBAR M T, et al.The need for intra aortic balloon pump support following open heart surgery:Risk analysis and outcome[J].J Cardiothorac Surg, 2010, 5:20-24.
[5]	WAN S, IZZAT M B, LEE T W, et al.Avoiding cardiopulmonary bypass in multivessel CABG reduces cytokine response and myocardial injury[J].Ann Thorac Surg, 1999, 68:52-56, discussion 56-57.
[6]	MARUI A, KIMURA T, TANAKA S, et al.Comparison of frequency of postoperative stroke in offpump coronary artery bypass grafting versus on-pump coronary artery bypass grafting versus percutaneous coronary intervention[J].Am J Cardiol, 2012, 110:1773-1778.
[7]	DUNNING J, VERSTEEGH M, FABBRI A, et al.Guideline on antiplatelet and anticoagulation management in cardiac surgery[J].Eur J Cardiothorac Surg, 2008, 34:73-92.
[8]	WALLENTIN L, BECKER R C, BUDAJ A, et al.Ticagrelor versus clopidogrel in patients with acute coronary syndromes[J].N Engl J Med, 2009, 361:1045-1057.