【摘要】 目的　探讨急性心肌梗塞溶栓后早期 T波的变化与闭塞冠脉再通的关系。方法　对80例接受静脉溶栓治疗的 AMI患者进行前瞻性研究 ,根据溶栓后 2 4小时内有无 T波倒置分为两组。依据临床间接判断冠脉再通的标准观察两组血管再通情况。结果　T波倒置组与未倒置组血管再通率分别为 93.1%和 11.3% (P<0 .0 1)。结论　溶栓后早期 T波倒置可作为判定梗塞相关血管再通的参考指标更多还原

【Abstract】 Objective To evaluate the relationship between T wave change and coronary recanalization in patients who accepted intravenous thrombolytic therapy for acute myocardial infarction.Methods Eighty patients (66 males,14 females,age 39～71 years) were divided into two groups (T wave inversion group and T wave upright group in 24 hours after the therapy).Coronary recanalization (based on indirect manifestation) were observed in two groups.Results Coronary recanalization rate in T wave inversion group and T wave upright group was 93.1% and 11.3 % respectively ( P <0.01).Conclusions The T wave inversion in the early stage after thromolytic therapy can be used as a reference mark to evaluate coronary recanalization.更多还原