【摘要】 目的探讨急性心肌梗死(AMI)静脉溶栓治疗后ST段再抬高的临床意义。方法将首发AMI并接受静脉溶栓治疗的77例患者,按静脉溶栓治疗后心电图有无ST段再抬高分为ST段再抬高组(A组)和ST段无再抬高组(B组),比较两组梗死相关血管再通率、再灌注心律失常、心功能、梗死后心绞痛及并存疾病等。结果①A组梗死相关血管再通率82.1%、B组81.6%(P>0.05);②两组再灌注心律失常、心功能分级、梗死后心绞痛、左室射血分值(LVEF值)比较,无统计学意义(P>0.05);③两组伴发糖尿病、原发性高血压及吸烟比较,无统计学意义(P>0.05)。结论AMI静脉溶栓治疗后ST段再抬高,可作为心肌再灌注成功的一种临床表现,可作为成功、有效的再灌注指标之一。更多还原

【Abstract】 Objective Explore the meaning of ST segment reelevation after intravenous thrombolytic therapy in patients with acute myocardial infarction(AMI).Methods 77 patients were divided into two groups: ST segment reelevation group(A group) and none-ST segment reelevation group(B group).Reperfusion rate,cardiac arrhythmia after reperfusion,cardial function,postinfarction angina pectoris,coexist with other disease were analyzed in two groups.Results Reperfusion rate was 82.1% in group A,while 81.6%(P>0.05)in group B.Cardiac arrhythmia after reperfusion,cardio function gradiation,postinfarction angina pectoris,left ventricular ejection fraction(LVEF),time of T wave inversion around infarction area were compared in two groups,but there were no difference between two groups(P>0.05).There were no difference of Coexist with diabetes mellitus,essential hypertension,smoking rate between two groups(P>0.05).Conclusion ST segment reelevation after intravenous thrombolytic therapy in patients with AMI could be considered as one clinical performance.It could also be one valuable index for reperfusion.更多还原