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重组组织型纤溶酶原激活剂静脉溶栓治疗急性心肌梗死后的QT离散度变化
引用本文:胡立群,陈曙光,张亚斋. 重组组织型纤溶酶原激活剂静脉溶栓治疗急性心肌梗死后的QT离散度变化[J]. 临床心电学杂志, 1997, 0(3)
作者姓名:胡立群  陈曙光  张亚斋
作者单位:安徽省立医院,安徽医科大学附属医院
摘    要:36例急性心肌梗死患者接受重组组织型纤溶酶原激活剂(rt-PA)静脉溶栓治疗。其中有效21例,无效13例。有效组在溶栓后2小时、8小时、24小时的QTc离散度(QTcd)与溶栓前相比较,有下降趋势,但未达到统计显著性。无效组在溶栓后2小时、8小时、24小时的QTcd与溶栓前相比较,有显著性延长(P<0001)。有效组与无效组相比,溶栓后2小时、8小时、24小时之QTcd,差异有显著性(P<0001)。

关 键 词:急性心肌梗死  溶栓  QT离散度  重组组织型纤溶酶原激活剂

Changes of QTcd during thrombolytic therapy of acute myocardial infarction with recombinant tissue-type plasminogen activator
Hu Li-Qun Chen Shu-Guang Zhang Ya-Zhai. Changes of QTcd during thrombolytic therapy of acute myocardial infarction with recombinant tissue-type plasminogen activator[J]. Journal of Clinical Electrocardiology, 1997, 0(3)
Authors:Hu Li-Qun Chen Shu-Guang Zhang Ya-Zhai
Abstract:The changes of QTcd after thrombolitic treatment by recombinant tissue-type plasminogen activator were studied in 36 patients with acute myocardial infarction.It was found that QTcd was shortted without significance in 21 patients with successful thrombolitic treatment at 2,8 and 24 hours later,but those with unsuccessful result prolonged significantly (n=13,P<0 001). The differences of QTcd between successful and unsuccessful patients at 2,8 and 24 hours later were significant (P<0 001).
Keywords:recombinant tissue-type  plasminogen activator  acute myocardial infarction  thrombolysis  QT dispersion  
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