急性心肌梗死溶栓治疗后临床指标判断冠脉再通的意义

Investigation on the clinical indexes in order to evaluate coronary recanalization of acute myocardial infaction

目的:探讨急性心肌梗死(AMI)溶栓治疗后临床指标对判断冠状动脉再通的意义。方法:对86例急性AMI患者采用静脉溶栓治疗后,根据临床指标分析判断冠状动脉再通情况。结果:前间壁、前侧壁、前壁、广泛前壁、下壁+后壁、下壁,急性心肌梗死溶栓治疗后临床指标判断冠状动脉再通分别可达75.00%、80.00%、72.73%、70.59%、73.33%、80.00%。结论:临床指标判断冠状动脉再通敏感度高,可作为判断冠状动脉再通的有效指标。

Objective： To investigate the effect of clinical indexes in order to evaluate coronary recanalization after throm-bolysis in the patients with acute myocardial infaetion. Methods： To evaluate coronary recanalization according to the clinical indexes after thrombolysis of drugs via vein in the 86 patients with acute myocardial infarction. Results： After throm-bolysis of drugs in AMI patients,for anteroseptal,nterolateral wall, anterior wall,extensive anterior,inferior wall and posterior wall,inferiorwall,respectively,75.00%, 80.00%, 72.73%, 70.59%, 73.33%, 80.00% of the patients are evaluated coronary recanalization according to the clinical indexes.Conclusion： Clinical indexes to evaluate coronary recanalization has good sensitivity to be the standard of evaluating coronary recanalization.