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ID:208499
大小:1.38 MB
页数:49页
时间:2017-07-03
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1、S.ChiuWongMD,FACCAssociateProfessorofMedicineWeillMedicalCollegeofCornellUniversityDirector,CardiacCatheterizationLaboratoriesTheNewYorkPresbyterianHospital-CornellCampusTheACCSymposiumattheGreatWallMeeting,BeijingChinaOctober17,2004ThrombolysisorPrimaryPCIintheTreatmentofAcute
2、MIPatho-anatomyofAMIFibrinolysisforAMIFibrinolysisVs.PrimaryPCIAdjunctPharmacologyandStrategiesCurrentRecommendationsinTreatmentofAMIThrombolysisorPCIinAMISummaryPatho-anatomyofAMIFibrinolysisforAMIFibrinolysisVs.PrimaryPCIAdjunctPharmacologyandStrategiesCurrentRecommendationsinTre
3、atmentofAMIThrombolysisorPCIinAMICirculation,VolumeXLV,January1972.Page215-230CoronaryArteriesinFatalAcuteMyocardialInfarctionByWILLIAMC.ROBERTS,M.D.SUMMARYThecoronaryarteriesarediffuselyinvolvedbyatheroscleroticplaquesinfatalacutemyocardialinfarction(AMI).Thedegreeofluminalnarrowi
4、ngmayvarybutplaquesarepresentinpracticallyeverymillimeterofextramuralcoronaryartery.Usuallythelumensofatleasttwoofthethreemajorcoronaryarteriesarenarrowed>75%byoldplaquesinpatientswhodiesuddenly(<6hours)fromcardiacdiseasewithorwithoutmyocardialnecrosis.Coronarythrombioccurinabout10
5、%ofpatientswhodiesuddenlyorinwhomnecrosisislimitedtotheleftventricularsubendocardium,andinabout50%ofpatientswithtransmuralmyocardialnecrosis.Coronarythrombiusuallyindicatethepresenceofshockorcongestiveheartfailureorbothduringdiedevelopmentofmyocardialnecrosis.Theinfrequencyofcorona
6、rythrombiinpatientsdyingsuddenlyofcardiacdiseaseandinthosewithtransmuralnecrosiswhoneverhaveshockorcongestiveheartfailuresuggeststhatthethrombimaybeconsequencesratherthancausesofAMI.ThrombolysisorPCIinAMIPatho-AnatomyofAMIThrombolysisorPCIinAMIPatho-AnatomyofAMIThrombolysisorPCIinA
7、MIPatho-AnatomyofAMIThrombolysisorPCIinAMIPathophysiologyofST-ElevationMIResultsfromstabilizationofaplateletaggregateatsiteofplaquerupturebyfibrinmeshplateletRBCfibrinmeshGPIIb-IIIaMIgenerallycausedbyacompletelyocclusivethrombusinacoronaryarteryIncidenceandPatho-anatomyofAMIFib
8、rinolysisforAMIFibrinolysi
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