急性心肌梗塞溶栓治疗后早期T波倒置的临床意义

The Clinical Implication of Early T Wave Inversion after Thrmbolytic Therapy in Acute Myocardial Infarction

本文回顾性地分析了104例接受溶栓治疗的急性心肌梗塞病人，根据发病24小时有无出现T波倒置，将病人分为A、B两组。A组38例（36．4％），B组66例（63．4％），通过对两组病人住院期间临床过程，超声心动图及冠状动脉造影的比较，得出结论：溶栓治疗后早期T波倒置标志着良好的临床过程，预示着成功而且有效的溶栓治疗。

We analyzed 104 consecutive patients with acute myocardial infarction who received thrombolytic therapy.Two group of patients were identified according to the changes in T waves in ECGs within 24 hours, group A: 38 patients (36.4%) who had early T wave inversion within 24 hours; group B: 66 patiens (63. 4%) who did not. The clinical course, echocardiography and coronary angiography were compared between the two groups. We concluded that early T wave inversion after admininistration of thrombolyic therapy may be a marker which could predict a better in-hospital couse and indicate a successful thrombolytic therapy for the patients with acute myocardial infarction.