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急性冠脉综合征是冠心病病程中的严重事件,往往导致大面积心肌梗死甚至猝死。不同的患者临床表现不尽相同,需要针对患者不同的风险采取相应的临床对策,这就需要对患者进行危险分层。来自于临床试验和专业学会指南的危险分层方法基本思路一致,但都不是呆板的教条,临床应用中需要了解不同危险分层方法的不同特点,根据实际情况灵活掌握,动态评估,选择合适的诊断和治疗方案。最终目的是合理配置有限的医疗资源,获得最佳的治疗效果。
Acute coronary syndrome is a serious event in the course of coronary heart disease, often leading to large-area myocardial infarction or even sudden death. Different patients have different clinical manifestations, need to take appropriate clinical strategies for different risks of patients, which requires the risk stratification of patients. The basic idea of risk stratification method from clinical trial and professional institute guideline is the same, but it is not rigid dogma. In clinical application, we need to understand the different characteristics of different risk stratification methods. According to the actual situation, we can grasp flexibly, evaluate dynamically and choose appropriate Diagnosis and treatment programs. The ultimate goal is to rationally deploy limited medical resources for optimal therapeutic outcomes.