心梗溶栓治疗后早期T波倒置的临床意义

The clinical meaning of early T-wave inversion after thrombolytic therapy in myocardial infarction

目的观察急性心梗静脉溶栓后早期T波倒置对冠脉再通的诊断价值。方法选择急性心梗患者50例，进行静脉溶栓治疗，观察溶栓后T波变化而分成T波倒置组和未倒置组，比较二组患者冠脉再通的指标异同。结果T波倒置组冠脉再通率明显高于未倒置组，差异有统计学意义。结论溶栓后24小时内T波倒置可作为判断冠脉再通的可靠指标。

Objective To study the value of early T-wave inversion after thrombolytic therapy in myocardial infarction. Methods 50 patients with myocardial infarction were chosen. They were divided into T-wave inversion group and non-T-wave inversion group after thrombolytic therapy. Compared with the index of the reperfusion .Results The reperfusion rate of T-wave inversion group is higher than non-T-wave inversion and there is statistical meaning. Conclusions T-wave inversion which occurs within 24 hours after thrombolytic therapy could be regarded as an reliable index of coronary artery reperfusion.