本报讯(记者 方芳)一则“一半心脏支架不靠谱”的报道日前引起了关注。昨天，报道中的当事人——我国著名心血管专家胡大一表示，有关媒体报道所述支架半数不靠谱，甚不严谨。但我国的确存在稳定性心脏病患者心脏支架“放得太多”的情况，而且不是个别现象。

Report from our correspondent(Reporter FangFang)a"Half the heart support by spectrum"The report has raised concern.yesterday,The coverage of the parties - the famous cardiovascular experts said b,The media reports stated support half without spectrum,Was not rigorous.But China's existing stability heart patients heart stent"Put too much"situation,And is not the individual phenomenon.

　　有媒体称，胡大一在近日举行的第23届长城国际心脏病学会议上说，“大家都非常迷信支架，崇拜搭桥。它对急性心肌梗死非常有效，但根据现在的统计资料，一半的支架都不靠谱。因此，在稳定的情况下，我作为心脏科大夫不建议盲目做支架。”

Some media are calling,B in the recently held the 23rd the Great Wall international cardiology conference said,"Everyone was very superstitious support,Worship bypass.It is very effective for acute myocardial infarction,But according to the statistical data of the now,Half of the support are not by spectrum.therefore,In the stable cases,I as a heart doctor do not recommend blind do support."

　　对此报道，胡大一在其实名注册的微博上表示：“有关媒体报道所述支架半数不靠谱，甚不严谨。”胡大一说：“关于支架，我反复讲的观点是：急性心肌梗死，时间就是生命，越早开通血管越好！稳定心绞痛患者是否植入支架要掌握好指证。美国数据显示：稳定性心绞痛植入支架的50%指证不强，其中11.6%不合理，38%指证不确定。中国应加强支架预后研究。”

This report,B in actually registered micro bo said:"The media reports stated support half without spectrum,Was not rigorous."B said:"About support,I broken point is:Acute myocardial infarction,Time is life,The earlier the better opening blood vessels!Whether patients with stable angina pectoris stent to master a testify.The data showed that:With stable angina, 50% of the stent prove is not strong,11.6% of them is not reasonable,Prove not sure 38%.China should strengthen the support prognosis research."

　　胡大一说，对于一名急性心肌梗死的患者来说，由于血管“梗”了，所以必须要打通血管通道，安支架是打通血管很重要的方法之一，通过一个小切口放进一个支架就能救命。但对于稳定性心绞痛患者来说，相当多的患者从支架上的获益限于缓解心绞痛症状，如果狭窄的血管部位不关键，用药后无明显症状，支架治疗无必要。需要安支架的才能安，不需要安放支架也植入，就属于不恰当使用或过度使用甚至滥用。

B said,For an acute myocardial infarction patients speaking,Due to the blood vessels"terrier"the,So we must get through vascular channels,Ann support is through blood vessels is important one of the method,Through a small incision into a support can help.But for stable angina for patients,Quite a number of patients benefit from the support to relieve angina symptoms,If the narrow vascular parts not key,After no obvious symptoms,Stents for treatment of unnecessary.Need to Ann stents to Ann,Don't need stent placement also implanted,It belongs to the improper use or excessive use of even abuse.

　　在胡大一看来，我国存在稳定性心脏病患者心脏支架“放得太多”的情况，而且不是个别现象。特别是有些患者一次放入3个以上支架，有的甚至被放入十几个，置入的支架内也会再狭窄或出血栓。很少人需要置入3个以上的支架。

B it seems in,There exists the stability heart patients heart stent"Put too much"situation,And is not the individual phenomenon.Especially some patients a into three or more support,Some even are placed in a dozen,Unaware of the stent will also restenosis or out of the thrombus.Few people need to put more than three support.

　　胡大一说，心血管疾病大多数不是先天性的，而是生活方式不健康造成的，被称为生活方式病。许多人并不想改变生活方式，又觉得吃药、打针太麻烦，认为只要放了支架，心脏就相当于上了保险，可以一劳永逸。胡大一强调，即使是符合指证放了支架的人，也不能一劳永逸，而是需要改变生活方式，否则原有疾病还有可能复发。

B said,Cardiovascular disease most not congenital,But the way of life not health cause,Called lifestyle disease.Many people don't want to change the way we live,And think to take medicine/Injections too much trouble,Think as long as put to support,The heart is equivalent to the insurance,Can once and for all.B emphasize,Even if is conform to testify put support people,Also can't get STH done once and for ever,But need to change the way of life,Otherwise the original disease and likely to recur.

　　其实，心血管病到了需要放支架的程度，只是“没办法的办法”。胡大一的老师是一位著名的心脏科医生，84岁时出现心绞痛，他没去做冠造、放支架，而是在保持健康生活方式的基础上，坚持口服药物，现在年近九旬，仍可以轻松爬上二楼。

In fact,Cardiovascular disease to need to put the degree of support,just"You have no choice".B teacher is a famous heart doctor,84 years old appeared angina pectoris,He didn't go to do crown made/Put support,But in the healthy way of life basis,Insist on oral drug,Now nearly,Still can easily climbed up to the second floor.