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急性心肌梗死溶栓治疗后心脏收缩功能的改善

Improvement of cardiac contraction function in acute myocardial infarction treated by venous thrombolysis
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摘要 为观察急性心肌梗死(AMI)患者,静脉溶栓疗效与心脏收缩功能之关系。选88例接受静脉溶栓治疗的AMI患者,分为两组:溶栓再通组66例及未溶通组22例。以Kilip分级判定临床心功能,超声心动图测定左室射血分数(LVEF)。结果显示:①重度左心功能不全(即KilipⅢ级)患者,溶通组明显少于未溶通组(10.6%比31.8%);②室壁瘤出现率,溶通组明显少于未溶通组(9.1%比36.4%);③LVEF值,溶通组明显高于未溶通组(58.3±10.5比50.9±11.9)。以上比较的P值均<0.01。可认为经静脉溶栓使梗死相关血管再灌注后的AMI患者,左心室收缩功能一定程度上得以保护。 The objective of the present paper is to observe the relationship between the efficacy of venous thrombolytic therapy on aucte myocardial infarction(AMI) and cardiac function.Eightyeight patients with AMI received venous thrombolytic therapy,and were divided into two groups: 66 cases of reperfusion and 22 noreperfusion. The clinical cardiac function was judged by killipgrading,and the left ventricular ejection fraction(LVEF) were determined by echocardiogram. ①The cases of severe left heart insufficiency in reperfusion group were less than that in noreperfusion group (10.6% vs 31.8%). ②The rate of ventricular aneurysm was lower in group reperfusion than that in noreperfusion group (9.1% vs 36.4%,P<0.005). ③LVEF value was higher in reperfusion group than in noreperfusion group(58.3±10.5 vs 50.9±11.9,P<0.01). The left cardiac function of contraction can be protected to certain extent for patients with AMI receiving venous thrombolytic therapy after the reperfusion of infarct related coronary artery.
出处 《心功能杂志》 1998年第1期15-16,共2页
关键词 急性 溶栓疗法 心脏功能 心肌梗塞 myocardial infarction,acute thrombolytis therapy cardiac function, contraction
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