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急性心肌梗塞(AMI)的预后可通过临床、心电图及其他辅助检查来判定,根据文献资料,通过回顾性病例分析,发现急性QRS波群终末变形对AMI的预后有一定影响,现分析如下。 资料与方法1.1 对象 1991年1月至1998年12月,我院共收治AMI患者316例,均符合1979年WHO诊断标准。对其中128例符合下列条件者作为分析病例:①发病12小时内有心电图记录;②2个以上肢体导联S-T段抬高大于0.1mV或2个以上连续胸导联S-T段抬高大于0.2mV,伴有T波直立对称。QRS波群终末变形的标准为符合下列两项中至少1项:①QRS波群如呈
The prognosis of acute myocardial infarction (AMI) can be determined by clinical, electrocardiogram and other auxiliary examinations. According to the literature, through retrospective case analysis, it is found that the terminal deformation of acute QRS complex has an impact on the prognosis of AMI. Materials and Methods 1.1 Object January 1991 to December 1998, our hospital received a total of 316 patients with AMI patients, all in line with the 1979 WHO diagnostic criteria. 128 cases of the following cases were analyzed as follows: ① ECG within 12 hours of onset; ② ST segment elevation of more than 2 limb leads greater than 0.1mV or more than 2 ST segment elevation of continuous chest lead greater than 0.2mV, With T wave upright symmetry. The standard of QRS wave group terminal deformation is at least 1 of the following two items: