Zijlstra F, de Boer M J
Hospital De Weezenlanden, Department of Cardiology, Zwolle, The Netherlands.
Semin Interv Cardiol. 1999 Mar;4(1):55-8.
Timely restoration of antegrade coronary blood flow by primary angioplasty of the infarct-related vessel of a patient with an acute myocardial infarction results in myocardial salvage and improved survival. The main issues pertinent to the delivery of primary angioplasty therapy are discussed, and the 'Zwolle approach' is described with regard to the prehospital phase, the first 15 min in-hospital, pharmacological therapy, angiography and angioplasty, risk stratification, rehabilitation and secondary prevention.
对急性心肌梗死患者梗死相关血管进行直接血管成形术及时恢复冠状动脉前向血流，可挽救心肌并提高生存率。本文讨论了直接血管成形术治疗的主要相关问题，并描述了“兹沃勒方法”，内容涉及院前阶段、入院后最初15分钟、药物治疗、血管造影和血管成形术、风险分层、康复及二级预防。
