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急性心肌梗塞早期血浆内皮素与心钠素浓度变化及其临床意义
引用本文:史占鳌,张志莲,崔自军,王军,王大全,张威,裴志强,刘洪武. 急性心肌梗塞早期血浆内皮素与心钠素浓度变化及其临床意义[J]. 华北国防医药, 1996, 0(2)
作者姓名:史占鳌  张志莲  崔自军  王军  王大全  张威  裴志强  刘洪武
作者单位:263医院(史占鳌,张志莲,崔自军,王军,王大全),北京建工医院(张威,裴志强),卫生部工业卫生研究所(刘洪武)
摘    要:本文报告了25例急性心肌梗塞患者,发病后一周内用放射免疫法检测血浆内ET和ANF浓度变化。发病数小时ET达峰值,时间与血清酶CK相近。一周内ET与ANF呈渐降趋势,但始终高于对照组,且二者在大面积梗塞组与心功能不全组明显高于小面积梗塞组与正常心功能组。同时发现,大剂量尿激酶静脉溶栓(13例)对血浆ET浓度无明显影响,而对血浆ANF有升高作用。

关 键 词:心肌梗塞  内皮素  心钠素  静脉溶栓

Variation and Clinical Significance of Plasma Endotbelin and Atrial Natriuretic Factor Concentration in the Early days of Acute Myocardial Infarction
Shi Zhan-ao,Zhang Wei,Zhang Zhi-lian et al. Hospital. Variation and Clinical Significance of Plasma Endotbelin and Atrial Natriuretic Factor Concentration in the Early days of Acute Myocardial Infarction[J]. Medical Journal of Beijing Military Region, 1996, 0(2)
Authors:Shi Zhan-ao  Zhang Wei  Zhang Zhi-lian et al. Hospital
Affiliation:Shi Zhan-ao,Zhang Wei,Zhang Zhi-lian et al. Hospital 263
Abstract:25 Patients with acute myocardial infarction (AMI) were reported about the level change of endothelin and atrial natriuretic factor measured by way of radioimmnology with in one week after the AMI occurring. Peak value was reached several hours after the onset, the time needed is close to that of CK. ET and ANF in a tendency of gradual reduction in the week. hut they were higher than that of control group. Both of the valuals in patiehts with large area AMI or heart function defficiency were obvionsly higher than in ones with little area AMI or normal heart function. It was discovered in the study that large dose of urokinase for intravenous thrombolysis dosen't have effect on plasma ET but have increasing effect on plasma ANF.
Keywords:Myocardial infarction Endothelin Avrial natriuretic factor Intravenous thrombolysis
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