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本文分析了急性心肌梗死622例中有 Q 及非 Q 波的 ST 段抬高>2mm 者187例用血管扩张剂及溶栓疗法后,符合冠脉再通的指标108例,分与三组观察其再灌流性心律失常的发生率。结果表明,A 组用血管扩张剂,再灌流心律失常(RA)发生率为71%(12/21);B 组用蝮蛇抗栓酶溶栓者,RA 发生率为81%(45/58);C 组用尿激酶溶栓者,RA 发生率为86%(25/29)。A 组 RA 发生率明显低于 B、C 两组(P<0.01);后两组间无显著差异(P>0.05)。提示 B、C 两组 RA 发生率高于 A 组。本文对 RA 的诊断和防治问题加以探讨。
This article analyzes the 622 cases of acute myocardial infarction in Q-wave and non-Q-wave ST-segment elevation> 2mm 187 cases with vasodilators and thrombolytic therapy, in line with the index of coronary recanalization 108 cases, divided into three groups observed The incidence of reperfusion arrhythmias. The results showed that the rate of reperfusion arrhythmia (RA) in group A was 71% (12/21) with vasodilators; in group B, the incidence of RA was 81% (45/58 ); C group with urokinase thrombolysis, the incidence of RA was 86% (25/29). The incidence of RA in group A was significantly lower than that in groups B and C (P <0.01). There was no significant difference between the two groups (P> 0.05). Tip B, C two groups of RA incidence was higher than A group. This article discusses the diagnosis and prevention of RA.