标题：冠脉内血栓和无复流现象的机制及防治进展

      作者：郭利玲，李飞，周静，高峰    (延安大学附属医院心内科三病区，陕西 延安 716000)

      卷次： 2017年28卷5期

      【摘要】 直接经皮冠脉介入(pPCI)目前已成为急性ST段抬高型心肌梗死(STEMI)患者的首选策略，虽然pPCI能获得较好的临床疗效，但即使在成功的介入治疗后，无复流和冠脉血栓远端栓塞依然存在。本文就近年来PCI介入治疗中无复流和冠脉血栓远端栓塞的形成、机制及其防治做一综述。
      【关键词】 心肌梗死；无复流现象；血栓；经皮冠脉介入
      【中图分类号】 R543.3 【文献标识码】 A 【文章编号】 1003—6350（2017）05—0798—04

Mechanism of coronary artery thrombosis and no-reflow phenomenon and progresses of its prevention andtreatment.
GUO Li-ling, LI Fei, ZHOU Jing, GAO Feng. Department of Cardiology, Yanan University Affiliated Hospital,Yanan 716000, Shaanxi, CHINA【Abstract】 Primary percutaneous coronary intervention (pPCI) has become the first choice for the acute ST-seg-ment elevation myocardial infarction patients. Although pPCI has good clinical effect, the no-reflow phenomenon anddistal embolization of coronary artery thrombus still exist after the successful interventions. In this article, we review themechanism and prevention in distal embolization of coronary thrombosis and no-reflow phenomenon in the PCI treat-ment in recent years.
      【Key words】 Myocardial infarction; No-reflow phenomenon; Thrombosis; Percutaneous coronary intervention·综 述·doi:10.3969/j.issn.1003-6350.2017.05.037基金项目：陕西省延安市科学技术局项目(编号：2013-KW02)