论文部分内容阅读
目的：通过分析急性心肌梗死患者入院１２导心电图梗死相关导联ＳＴ段上移程度及ＱＲＳ波终末变形，预测心肌梗死患者早期预后。方法：接受溶栓治疗的连续１０３例病人，根据入院时１２导心电图ＳＴ段上移程度及有无ＱＲＳ波终末变形将病人分为两组，变形组３５人，无变形组６８人。结果：变形组肌酸激酶（ＣＫ）、ＣＫ－ＭＢ峰值明显高于无变形组，差异有显著性（Ｐ＜００５）；变形组在入院时心功能Ｋｉｌｉｐ≥Ⅲ级的发生率、住院心律失常发生率、住院病死率明显高于无变形组（Ｐ＜００５）。结论：入院１２导心电图梗死相关导联ＳＴ段显著上移及ＱＲＳ波终末变形，与早期预后有密切关系，这种评估方法有一定的临床实用价值。
OBJECTIVE: To predict the early prognosis of patients with acute myocardial infarction (AMI) by analyzing the degree of ST-segment elevation and the QRS terminal deformation in patients with acute myocardial infarction. Methods: A total of 103 consecutive patients undergoing thrombolytic therapy were divided into two groups according to the level of ST segment elevation at 12-lead electrocardiogram and the presence or absence of QRS wave. 35 patients in deformation group and 68 patients in non-deformation group. Results: The peak values of creatine kinase (CK) and CK-MB in the deformed group were significantly higher than those in the non-deformed group (P <005). The incidence of Kilip≥Ⅲlevel in the deformed group was Arrhythmia incidence and in-hospital mortality were significantly higher than those without deformation (P <005). Conclusion: There is a close relationship between ST-segment elevation of ST-segment and QRS complex in admission leads of 12-lead electrocardiogram and prognosis. This method has certain clinical value.