急性冠脉综合征是临床中最常见的心血管急症之一,具有发病急、病情变化快及死亡率高等特点。争取及早实施抢救治疗,可大大降低其死亡率。现就急性冠脉综合征的早期治疗(即发病24 h之内)包括保守治疗和介入性治疗在非ST段抬高和ST段抬高的急性冠脉综合征的治疗策略作如下综述。 Acute coronary syndrome is one of the most common cardiovascular emergencies in clinical practice. It has the characteristics of acute onset, fast changing disease and high mortality rate. Striving for early rescue treatment can greatly reduce the mortality rate. The following summarizes the treatment strategies for acute coronary syndromes with non-ST-segment elevation and ST-elevation in the early stage of treatment of acute coronary syndromes (within 24 hours of onset), including conservative treatment and interventional therapy.