【摘要】 急性心肌梗塞（ＡＭＩ）６ 小时内静脉溶栓１０８ 例，将溶栓前基础心电图和溶栓后３ 小时心电图，根据ΣＳＴ抬高恢复情况相对于早期ＳＴ段抬高情况按百分比评估分为三组：心电图恢复组（＞ ７５％ ， ｎ ＝ ２１）；部分恢复组（２５％ ～７５％ ，ｎ ＝ ５９）；不恢复组（＜ ２５％ ， ｎ ＝ ２８）。结果表明：危险因素中随着ＳＴ段恢复程度的降低，糖尿病并发率逐渐增高，高血压并发率＜ ２５％ 组高于≥２５％两组（ Ｐ＜ ０．０５）；＜ ２５％ 组以酶水平居高、前壁心肌梗塞多为特点，表现为住院期间并发症显著、死亡率高。结论：ＡＭＩ溶栓后ＳＴ段恢复情况结合临床资料可作为早期预后评估的重要指标。更多还原

【Abstract】 A study based upon the restoration of ST segment after thromblytic therapy beginning within 6 hours after onset of acute myocardial infarction(AMI) in 108 cases to evaluate the outcone of these patients was carried out. Three groups were defined according to complete (>75%,n=21), Partial (<75% to >25%,n=59),and (<25%, n=28)ST segment restoration,respectively.The result showed that among risk factor, the diabetic patients usually had no restoration of elevated ST segment; hypertension group was ≥25% (P<0.05);and the gruop<25% was of high enzyme level and anterior myocardial infarction, and of higher incidence of complications and higher mortality rats. Analysis on restoration of elevated ST segment after thrombolytic therapy combined with clinical data is a useful evaluation of outcome of AMI patients.更多还原