| 心肌缺血预适应对急性心肌梗死影响的临床分析 |
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| 引用本文： | 李春杰 曹洪欣 余柏林. 心肌缺血预适应对急性心肌梗死影响的临床分析[J]. 解放军保健医学杂志, 2003, 5(4): 212-214 |
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| 作者姓名： | 李春杰 曹洪欣 余柏林 |
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| 作者单位： | [1]解放军211医院中医科，黑龙江哈尔滨150080 [2]中国中医研究院，北京100700 [3]黑龙江哈尔滨港务局医院，黑龙江哈尔滨150020 |
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| 摘 要： | 目的 观察心肌缺血预适应对急性心肌梗死(AMI)的保护作用。方法 将80例急性心肌梗死患分为缺血预适应组48例和无缺血预适应组32例，将两组临床资料进行对比分析。结果 缺血预适应组小面积心肌梗死的发生率明显高于无缺血预适应组，而心律失常、心衰、心源性休克、再梗等的发生率及病死率明显低于无缺血预适应组，有统计学意义。结论 心肌缺血预适应对AMI具有保护作用。
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| 关 键 词： | 急性心肌梗死 心肌缺血预适应 心绞痛 梗死面积 并发症 预后 |
| 修稿时间： | 2003-01-25 |
Clinical analysis of the influence of myocardial ischemic preconditioning to acute myocardial infarction |
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| LI Cun-jie,CAO Hong-xin,YU Bo-lin. Clinical analysis of the influence of myocardial ischemic preconditioning to acute myocardial infarction[J]. Journal Of Health Care And Medicine in Chinese Pla, 2003, 5(4): 212-214 |
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| Authors: | LI Cun-jie CAO Hong-xin YU Bo-lin |
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| Affiliation: | LI Cun-jie,CAO Hong-xin,YU Bo-lin Department of traditional Chinese medicine,211 hospital of PLA,Harbin,Hei Long Jiang,150080 |
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| Abstract: | Objective To study the protecive effect of ischemic preconditioning on acute myocardial infarction (AMI). MethodsClinical data of 80 AMI cases were divided into two groupe according to whether ischemia and angina pectoris existed or not. One was ischemiaand angina pectoris group before AMI while other was non ischemic preconditioning group. Results The clinical features in non ischemic pre-conditioning group were quite different form those in ischmic preconditioning group. They had large infarction size. Conclusions Ischemic pre-conditioning had protective effect on AMI and mainly limited cardiac infarction size. As left cardiac function was maintained afther AMI, the rateof cardiac arrhythmias and mortality were decreased. |
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| Keywords: | acute myocardial infarction myocardial ischemic preconditioning |
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