摘要
目的:对急性心肌梗塞(AMI)再灌注后出现的特殊临床表现进行分析。方法:对50例AMI患者静脉溶栓后冠状动脉造影(显示为TIMI血流3级)的资料进行分析。结果:再灌注后有48例胸痛迅速缓解,有2例患者在再灌注后胸痛突然加重;有44例患者出现心律失常;40例出现一过性低血压;8例出现一过性ST段抬高。结论:冠脉血管再通后绝大部分患者胸痛迅速缓解,但大多有心律失常发生,一过性低血压,少数患者可出现ST段一过性胸痛加重;故溶栓后应进行持续心电图和血压监测。
Objective: To analyses the clinical manifestation of reperfusion injury in patients with acute myocardial infarction (AMI). Methods: The data of reperfusion injury induced from thrombolyses in 50 AMI patents were analyzed retrospectively. Results: After reperfusion the chest pain quickly disappeared in 48 patients, transient ST elevation occurred in 8 patients and chest pain of two patients suddenly aggravated. Conclusion : After reperfusion the chest pain quickly disappaers,arrhythmia and transient hypotension occur in most AMI patients;transient ST elevation and chest pain aggravate in few AMI patients, so must monitor electrocardiography and blood pressure after thrombolyses.
出处
《心血管康复医学杂志》
CAS
2006年第3期234-235,共2页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
心肌梗塞
再灌注损伤
低血压
心律失常
Myocardial infarction
Reperfusion injury
Hypotension
Arrhythmia