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急性心肌梗塞溶栓再通的临床标准与冠脉造影的对比研究
引用本文:郭静萱 葛堪忆. 急性心肌梗塞溶栓再通的临床标准与冠脉造影的对比研究[J]. 心肺血管病杂志, 1996, 15(2): 69-70
作者姓名:郭静萱 葛堪忆
作者单位:北京医科大学第三附属医院心内科
摘    要:我院对四年来收入的78例急性心肌梗塞(AMI)患者进行静脉溶栓治疗。作者以冠状动脉造影结果为标准,对AMI溶栓治疗再通临床标准(参考方案)进行了验证。结果:参考方案的灵敏度为70.2%,特异性67.7%,阳性预测值76.7%,阴性预测值60.0%,临床准确度69.2%。提示:参考方案与冠状动脉造影结果有较好的相关性,判定再通的准确性较高。

关 键 词:急性心肌梗塞,冠状动脉造影,溶栓治疗,冠脉再通

Comparative Study of Evaluating Coronary Patency after Intravenous Thrombolysis in Acute Myocardial Infarction by Clinical and Coronary Angiographic Criteria
Guo Jingxuan,Ge Kanyi,Mao Jieming,et al.. Comparative Study of Evaluating Coronary Patency after Intravenous Thrombolysis in Acute Myocardial Infarction by Clinical and Coronary Angiographic Criteria[J]. Journal of Cardiovascular and Pulmonary Diseases, 1996, 15(2): 69-70
Authors:Guo Jingxuan  Ge Kanyi  Mao Jieming  et al.
Abstract:patients with acute myocardial infarction(AMl)were undertaken intravenous thrombolysis treatment during four years.The clinical criteria of patency after thrombolysis was identified according to coronary angiographic criteria.Results:the sensitivity of the clinical criteria is 70.2%,specificity is 67.7%;positive predictive value is 76.7%,negative predictive value is 60.0% and clinical accuracy is 69.2%.The results suggest that there is a close correlationship between clinical criteria and coronary angiographic criteria.
Keywords:Acute myocardial infarction  Coronary angiography  Thrombolysis  Coronary patency  
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