文档介绍：第 37 卷第 1 期遵义医学院学报
年月 Vol. 37 No. 1
2014 2 Journal of Zunyi Medical University Feb. 2014
院士述评
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冠心病介入治疗的过去、现在和未来
葛均波
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复旦大学附属中山医院心内科上海 200032
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[摘要]冠心病是致死率与致残率极高的心血管疾病严重威胁人类健康。目前药物治疗、冠状
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动脉搭桥术和介入治疗是冠心病治疗的三架“马车”其中又以介入治疗发展最为迅速成为缓解
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心绞痛和降低急性心肌梗死死亡率的重要治疗手段。冠状动脉造影和介入治疗技术源于外周动脉疾病介入治疗经过无
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数冠状动脉介入治疗先行者的不懈努力使介入器械得到巨大进步和发展先后经历单纯球囊扩张、金属裸支架和药物洗
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脱支架时代同时介入治疗适应症亦不断扩大几乎囊括所有的冠心病患者。展望未来伴随着光学相干断层扫描、血管内
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超声和血流储备分数测定等新技术广泛应用生物可降解支架成为下一代支架治疗的新希望和发展方向。
[关键词]冠状动脉粥样硬化性心脏病�介入治疗�展望
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[中图法分类号]R541. 4 [文献标志码]A [文章编号]1000-2715 2014 01-0001-05
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Percutaneous Coronary Intervention the past current and the future perspec-
tives
Ge Junbo
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The Affliated Zhongshan Hospital of Fudan University Shanghai 200032
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Abstract Coronary heart disease CHD is a very high mortality and morbidity of cardiovascular disease.
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Medications coronary artery bypass surgery and percutaneous coronary intervention are the three therapeutic
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methods of CHD of which percutaneous coronary intervention develops rapidly and es the main procedure
of relieving angina and reducing the mortality of acute myocardial infarction. Coronary arteriography and interven-
tion treatment technology are derived from interventional therapy of peripheral arterial disease. After unremitting
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efforts of many pioneers interventional devices o