作者：上官震宇，刘晓建

单位：

046000山西省长治市，长治医学院附属和济医院心血 管内科

单位（英文）：

Department of Cardiovascular Medicine, Heji Hospital, Changzhi Medical College, Changzhi 046000, China

关键词：

ST段抬高型心肌梗死；经皮冠状动脉介入治疗；无复流现象；综述

关键词（英文）：

ST elevation myocardial infarction; Percutaneous coronary intervention; No-reflow phenomenon; Review

中图分类号：

R 542.22

DOI：

10.12114/j.issn.1008-5971.2023.00.255

基金项目：

山西省医药卫生科技发展计划项目（17KPPX0165）

摘要：

　无复流现象（NRP）是影响ST段抬高型心肌梗死（STEMI）患者PCI获益的常见并发症之一，随着检 查技术的发展，人们对于NRP的重视程度逐渐增加。本文回顾了STEMI患者PCI后发生NRP的各种机制，并且归纳了目 前常用的一些预测方法及防治手段。经过分析表明，早期预测NRP并采取相应的防治手段，可以增加STEMI患者的PCI 获益及改善患者预后，然而在STEMI患者PCI前如何快速、简便地筛查NRP高危人群仍值得进一步探索。

英文摘要：

No-reflow phenomenon (NRP) is one of the common complications that affect the benefits of percutaneous coronary intervention (PCI) in patients with acute ST segment elevation myocardial infarction (STEMI) . With the development of examination techniques, people's attention to NRP is gradually increasing. This article reviews the various mechanisms of NRP in STEMI patients after PCI, and summarizes some commonly used prediction methods and prevention and treatment methods. After analysis, it has been shown that early prediction of NRP and corresponding prevention and treatment measures can increase PCI benefits and improve prognosis in STEMI patients. However, further exploration is still needed on how to quickly and easily screen high-risk populations for NRP before PCI in STEMI patients.

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