急性心肌梗死早期溶栓后再灌注心律失常及预后分析 |
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引用本文: | 许瑞佳,张中东,胡爱民,张世杰,尹延伟.急性心肌梗死早期溶栓后再灌注心律失常及预后分析[J].河北医学,2010,16(9):1060-1062. |
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作者姓名: | 许瑞佳 张中东 胡爱民 张世杰 尹延伟 |
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作者单位: | 空军总医院急诊部,北京,100142 |
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摘 要: | 目的:探讨急性心肌梗死早期溶栓后再灌注心律失常对预后的影响。方法:对确诊为急性心肌梗死的30例患者临床诊治资料进行回顾性分析。结果:30例患者中,冠状动脉再通25例,再通率83.33%;未通5例。再通病例中均出现再灌注心律失常,包括室上性心动过速6例,室性早博7例,短阵室速4例,室颤2例。高度房室传导阻滞3例,窦性心动过缓6例,死亡6例均为窦性心动过缓或高度房室传导阻滞。结论:早期溶栓仍然是抢救急性心肌梗死的首选措施,急性心肌梗死再灌注后缓慢心律失常死亡率明显高于快速心律失常(P〈0.05)。
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关 键 词: | 急性心肌梗死 尿激酶 溶栓 再灌注 心律失常 |
Reperfusion Arrhythmia Effect on Prognosis after Early Thrombolysis in Patients with Acute Myocardial Infarction |
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Institution: | XU Ruijia,ZHANG Zhongdong,HU Aimin,et al (Emergency Department of Air Force General Hospital,Beijing 100142,China) |
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Abstract: | Objective: To explore reperfusion arrhythmia effect on prognosis after early thrombolysis in patients with acute myocardial infarction.Method: Data of 30 patients with acute myocardial infarction were analyzed retrospectively.Result: In 30 patients,25 patients with coronary artery reperfusion,the reperfusion rate was 83.33%.The cases that recanalization occurred in both of reperfusion arrhythmias,including 6 cases of supraventricular tachycardia,ventricular premature beats in 7 cases,a short array ventricular tachycardia in 4 cases,ventricular fibrillation in 2 cases.High degree atrioventricular block in 3 cases,sinus bradycardia in 6 cases,6 deaths were sinus bradycardia or high degree atrioventricular block.Conclusion: Early thrombolysis remains the first choice for emergency measures in acute myocardial infarction,after reperfusion arrhythmia the mortality rate was significantly higher than the slow tachyarrhythmia(P 0.05). |
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Keywords: | Acute myocardial infarction Urokinase Thrombolysis Reperfusion Arrhythmias |
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