急性心梗溶栓后再灌注性心律失常临床研究

Clinical Study of Reperfusion Arrhythmia After Acute Myocardial Infarction

目的探讨急性心梗溶栓后再灌注性心律失常临床研究。方法随机选取我院2012年1月-2013年12月收治的急性心梗患者40例,应用尿激酶溶栓治疗,对患者心电图变化、心肌酶谱变化情况进行严密监测。结果本次研究40例对象,实施溶栓后冠脉再通患者35例,冠脉再通率为87.5%,大部分研究对象表现为单纯室早,少数患者表现为室颤、矩阵室速等,溶栓后冠脉再通平均时间为（52.9±17.3）min。结论对急性心梗患者实施冠脉再通对缓解胸痛症状有作用,但在手术中,为有效减少诱发心律失常率,应在再次灌注之后,对患者血压与心电图变化情况予以严密监测。

Objective To explore the acute myocardial infarction after thrombolysis reperfusion arrhythmia in clinical research. Methods Randomly selected 40 patients with acute myocardial infarction from January 2012 to December 2013 in our hospital, application of urokinase thrombolysis treatment, and then the changes of electrocardiogram,myocardial enzymes in patients with situation closely monitoring.ResultsThe study object of 40 cases, the implementation of 35 patients with coronary artery recanalization after thrombolysis, coronary rate was 87.5%, most of the research object of pure room earlier, there was a small part of the ventricular tachycardia patients characterized by ventricular fibrillation, matrix and so on, for an average coronary artery recanalization after thrombolysis （52.9 ± 17.3） minutes.Conclusion Patients with acute myocardial infarction, the implementation of the coronary artery recanalization to alleviate symptoms of chest pain have signiifcant effect, but in the operation, to effectively reduce the probability of inducing arrhythmia, should be in again after infusion, blood pressure and electrocardiogramchanges of the patients to be monitored closely.