中新网北京10月12日电 (记者 欧阳开宇)针对急性ST段抬高型心肌梗死患者实施介入治疗时，建议根据造影结果对其“罪犯血管”的血栓负荷和狭窄程度等病变特征进行充分评估，从而决定血栓抽吸技术的应用策略。这是中国医师协会心血管内科医师分会会长霍勇12日在北京宣讲时的核心学术观点。

in新网北京10月12日电 (Reporter OuYangKaiYu)For acute type st-elevation myocardial infarction patients when implementing intervention treatment,Advice according to the result of its imaging"Criminals vascular"The thrombus of load and narrow extent of lesion characteristics of full assessment,Thus decided to thrombus suction technology application strategy.这是in国医师协会心血管内科医师分会会长霍勇12日在北京宣讲时的核心学术观点.

　　霍勇在此间举办的长城国际心脏病学会议暨亚太心脏大会“心认识、心方案、心策略”新闻发布会上说，对于上述疾病，在急诊中，实施直接经皮冠状动脉介入(急诊PCI术)应高度关注“无复流现象”的发生，合理应用血栓抽吸装置，预防无复流现象发生比发生无复流后的治疗更重要。

霍勇在此间举办的长城国际心脏病学会议暨亚太心脏大会"Heart know/Heart scheme/Heart strategy"News conference,For the above diseases,在急诊in,Implementation of direct percutaneous coronary intervention(Emergency PCI operation)Attention should be"No reflow phenomenon"happened,The reasonable application of thrombus suction device,Prevent no reflow phenomenon than to have no reflow treatment after the more important.

　　霍勇指出，急性ST段抬高型心肌梗死的发病机制是，在冠状动脉粥样病变的基础上，斑块破裂形成血栓急性堵塞血管腔，造成心肌缺血损伤。其治疗关键是，应尽快有效开通罪犯血管，改善心肌灌注，尽可能减少心肌组织的损害。目前，“急诊PCI术”仍是能够及时有效地开通“罪犯血管”，实现最佳“再灌注”治疗的首选治疗策略。

霍勇指出,Acute st-elevation myocardial infarction model in the pathogenesis of is,In coronary artery atherosclerosis lesions basis,Plaque rupture thrombose acute jam vascular cavity,Cause myocardial ischemia injury.The treatment is the key,As soon as possible should be effective opened the criminal blood vessels,Improve myocardial perfusion,As far as possible to reduce the myocardial tissue damage.At present,"Emergency PCI operation"Is still able to timely and effectively opened"Criminals vascular",Achieve the best"reperfusion"Treatment of choice in treatment strategies.

　　广东省人民医院教授陈纪言说，血栓清除装置分为普通抽吸导管、机械性血栓清除装置和血栓保护装置3大类。其中，冠脉血栓抽吸装置是专门为冠脉闭塞相关血管内的血栓和斑块有吸出作用而设计的，近年来已经在国内外急诊PCI术中广泛应用，可预防冠脉微栓塞，提高冠脉血流，降低无复流的发生率。

广东省人民医院教授陈纪言说,Thrombus removal system is divided into normal suction catheter/Mechanical thrombus removal system and thrombus protective device three categories.其in,Coronary thrombosis suction device is designed for coronary occlusion related endovascular blood clots and plaques have suck out function and design,近年来已经在国内外Emergency PCI operationin广泛应用,Can prevent coronary micro embolism,Increase coronary blood flow,To reduce the incidence of no reflow.

　　值得关注的是，近来，急诊PCI已经逐渐被赋予了新的含义，其内容已包括能解除冠状动脉狭窄的旋磨术、定向旋切术、抽吸术以及激光血管成形术等技术。

值得关注的是,recently,Emergency PCI has gradually endowed with new meaning,Its content has including coronary artery stenosis can remove the screw grinding operation/Directional XuanQieShu/Suction technique and laser angioplasty technology.

　　专家指出，随着抽吸导管的应用，可望将这些血栓、斑块等有形成分及炎性因子、组织因子等无形成分抽出体外，以期解决或减轻血管堵塞和继发的高凝、炎性反应所致的后续相关并发症。

专家指出,With the application of the suction catheter,Is expected to put these thrombus/Plaques tangible composition and inflammatory factor/Tissue factor and other intangible components extraction in vitro,In order to solve or alleviate vascular blockage and subsequent high condensation/Inflammatory reaction of subsequent related complications.

　　中国科学院院士葛均波呼吁，急诊PCI术中，根据造影结果对患者罪犯血管的血栓负荷和狭窄程度等病变特征进行充分评估，从而决定血栓抽吸装置的应用策略，将使急性ST段抬高型心肌梗死患者更大程度获益并提高手术成功率。(完)

in国科学院院士葛均波呼吁,Emergency PCI operationin,According to the imaging results of patients criminals vascular thrombosis load and narrow extent of lesion characteristics of full assessment,Thus decided to thrombus suction device application strategy,Will make acute st-elevation myocardial infarction patients type greater benefit and improve the success rate of the operation.(finish)