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非心脏手术围术期心肌缺血和心肌梗死

曲歌 于春华 黄宇光

曲歌, 于春华, 黄宇光. 非心脏手术围术期心肌缺血和心肌梗死[J]. 协和医学杂志, 2013, 4(1): 43-47. doi: 10.3969/j.issn.1674-9081.2013.01.010
引用本文: 曲歌, 于春华, 黄宇光. 非心脏手术围术期心肌缺血和心肌梗死[J]. 协和医学杂志, 2013, 4(1): 43-47. doi: 10.3969/j.issn.1674-9081.2013.01.010

非心脏手术围术期心肌缺血和心肌梗死

doi: 10.3969/j.issn.1674-9081.2013.01.010
详细信息
    通讯作者:

    黄宇光 电话:010-69155580, E-mail:pumchhyg@yahoo.com.cn

  • 中图分类号: R619;R541

  • 图  1  围术期心肌梗死可能诱因与发生机制

    TNF-α:肿瘤坏死因子-α; IL-1:白细胞介素-1;IL-6:白细胞介素-6;CRP:C反应蛋白; PAI-1:纤溶酶原活化因子抑制物1

    表  1  非心脏手术围术期心脏事件

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    [20] Thygesen K, Alpert JS, White HD, et al. Universal definition of myocardial infarction[J]. Circulation, 2007, 116:2634-2653. doi:  10.1161/CIRCULATIONAHA.107.187397
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    [27] Fleisher LA, Brown KA, Calkins H, et al. 2009 ACCF/AHA focused update on perioperative beta blockade incor-porated into the ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery:a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines[J]. Circulation, 2009, 120:169-276.
    [28] Gualandro DM, Campos CA, Calderaro D, et al. Coronary plaque rupture in patients with myocardial infarction after noncardiac surgery:frequent and dangerous[J]. Atherosclerosis, 2012, 222:191-195. doi:  10.1016/j.atherosclerosis.2012.02.021
    [29] Martins OM, Fonseca VF, Borges I, et al. C-Reactive protein predicts acute myocardial infarction during high-risk noncardiac and vascular surgery[J]. Clinics (Sao Paulo), 2011, 66:773-776. http://pubmedcentralcanada.ca/pmcc/articles/PMC3109374/
    [30] Qu G, Xu L, Yu C, et al. The role of preoperative high-sensitivity C-reactive protein in the prediction of perioperative cardiac events in patients with CAD undergoing non-cardiac surgery[J]. Basic Clin Med, 2012, 32:1406-1410.
    [31] Devereaux PJ, Goldman L, Cook DJ, et al. Perioperative cardiac events in patients undergoing noncardiac surgery:a review of the magnitude of the problem, the pathophysiology of the events and methods to estimate and communicate risk[J]. CMAJ, 2005, 173:627-634. doi:  10.1503/cmaj.050011
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    [33] Priebe HJ. Triggers of perioperative myocardial ischaemia and infarction[J]. Br J Anaesth, 2004, 93:9-20. doi:  10.1093/bja/aeh147
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出版历程
  • 收稿日期:  2011-08-17
  • 刊出日期:  2013-01-30

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