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前壁急性心肌梗塞(AMI)患者中,左室附壁血栓形成率很高,尸检发现率为20～60%,是体循环栓塞的来源。作者研究了顺序住院的400例前壁AMI患者,其中出院前1～2日二维超声心动图显示左室附壁血栓者60例,男48例,女12例,年龄36～72岁。随机分为3组,每组各20例。A组,口服足量抗凝药(凝血酶原时间控制在1.6～2倍于正常值);B组,口服
Anterior wall acute myocardial infarction (AMI) in patients with high rates of left ventricular wall thrombosis, the autopsy was found in 20 to 60%, is the source of systemic embolism. The authors studied the sequential hospitalization of 400 anterior AMI patients, of which 1 to 2 days prior to discharge by two-dimensional echocardiography showed left ventricular wall thrombosis in 60 cases, 48 males and 12 females, aged 36 to 72 years. Randomly divided into 3 groups, each group of 20 cases. Group A, oral anticoagulant enough (prothrombin time control in 1.6 to 2 times the normal value); B group, oral