| 急性心肌梗死溶栓治疗后迟发性ST段再抬高的临床意义 |
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| 引用本文： | 郭任维,任艳琴,王春玲,邹阳春. 急性心肌梗死溶栓治疗后迟发性ST段再抬高的临床意义[J]. 中国医药导刊, 2008, 10(9): 1332-1333 |
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| 作者姓名： | 郭任维 任艳琴 王春玲 邹阳春 |
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| 作者单位： | 1. 山西省汾阳医院心内科,山西,032200
2. 煤炭总医院心脏中心,北京,100028 |
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| 摘 要： | 目的：研究急性心肌梗死（AMI）静脉溶栓后迟发性ST段再抬高的临床意义。方法：入选发病12小时之内行溶栓治疗成功的AMI患者180例，根据溶栓12小时后ST段是否再抬高分为A、B两组，监测CPK、CK-MB峰值及峰值时间，记录有无再灌注心律失常、心力衰竭，1周、1月、3月及6月各随访1次，复查心脏超声。结果：A组前壁心肌梗死的发生率，合并高血压、糖尿病、血脂紊乱者以及CPK、CK-MB峰值显著高于B组，CPK、CK-MB峰值时间较B组提前程度小，心力哀竭、室壁瘤发生率及死亡率均显著高于B组（P均〈O．05）。结论：AMI溶栓成功后迟发性ST段再抬高者心力衰竭、室壁瘤发生率高，预后相对差。
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| 关 键 词： | 急中牛心肌梗死 溶栓 迟发性ST段再抬高 |
Clinical Significance of Delayed ST Segment Re-elevation in Acute Myocardial Infarction Patients with Thrombolytic Therapy |
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| Guo Ren-wei,Ren Yan-qin,Wang Chun-ling,et al.. Clinical Significance of Delayed ST Segment Re-elevation in Acute Myocardial Infarction Patients with Thrombolytic Therapy[J]. Chinese Journal of Medicinal Guide, 2008, 10(9): 1332-1333 |
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| Authors: | Guo Ren-wei Ren Yan-qin Wang Chun-ling et al. |
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| Affiliation: | Guo Ren-wei~1,Ren Yan-qin~1,Wang Chun-ling~2,et al. (~1Cardiology department,Fenyang Hospital,Fenyang 032200,China,~2Heart Center,Mei Tan General Hospital,Beijing 100028,China) |
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| Abstract: | Objective:To study-the clinical significance of delayed ST segment re-elevation in AMI patients with thrombolytic therapy. Methods:180 AMI patients who onsetted within 12 hours and thrombolysis successful were enrolled.The patients were divided into A and B group according whether ST segment re-elevation after 12 hours of thrombolytic therapy.Peak value and time of CPK,CK-MB were recorded; reperfusion arrhythmia and heart failure were recorded;the patients were followed up at 1 week,1,3 and 6 month respecti... |
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| Keywords: | Acute myocardial infarction Thrombolysis Delayed ST segment re-raise |
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