| 摘要: |
| ［摘要］ 冠状动脉血运重建术(CVR)的广泛应用使存活心肌的检测近年来成为众多学者关注的热点。冠心病患者由于缺血所致功能异常的节段可能是真正不可逆的心肌损害，也可能是可复性损伤。前者通常由坏死心肌细胞和瘢痕组织组成，后者包括冬眠心肌、顿抑心肌和伤残心肌。心肌可逆性缺损的范围和严重程度是急性心梗病人未来主要不良心脏事件的一个重要的预测因素。对冠心病尤其是心肌梗死患者应及时识别这些存活心肌，早施行CVR，可改善左心室整体收缩功能和患者的预后。正确判断节段性室壁运动异常区域内有无存活心肌，对冠心病患者进一步选择治疗方案、预测疗效及判断预后有着重要的意义。 |
| 关键词: 冠心病 存活心肌 血运重建术 |
| DOI： |
| 分类号:R 542.1 |
| 基金项目: |
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| The detection methods and clinic significance of survival myocardium |
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ZHENG Ping, CAO Li
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Department of Cardiology, Nanxishan Hospital of Guangxi, Guilin 541002， China
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| Abstract: |
| ［Abstract］ The detection of survival myocardium has become to hot spot with the widespread application of coronary artery revascularization recently. Ischemic parafunctional segment in coronary heart disease patient maybe is really inconvertible myocardial damage, or recoverable damage. The former usually make of necrosis myocardium and scar tissue, the latter include hibernating myocardium、stunning myocardium and maimed myocardium. The amplitude and severity extent of myocardial reversible defect is one of important predict factors to detect major heart incidents in coronary heart disease patient. How to identify these survival myocardium within coronary heart disease patient especially myocardial infarction patient, and therefore perform coronary artery revascularizartion earlier, will improve left ventricle entirety contractile function and prognosis. It is important to judge segment wall motion abnormalities whether has survival myocardium or not. It has considerable significance to choose further therapeutic regimen、predict curative effect and judge prognosis. |
| Key words: Coronary heart disease Survival myocardium Coronary artery revascularization |
