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在急性心肌梗死(AMI)病人由于直肠指检可能诱发心律失常和(或)血液动力学不稳定,往往忽视或推迟此项检查。作者对AMI病人进行直肠指检的安全性和功效进行了探讨。方法 480例病人随机分为3组。I组和Ⅱ组为 AMI病人、Ⅲ组为滞留在重症监护病房的非AMI病人。AMI的诊断依据标准心肌酶
In patients with acute myocardial infarction (AMI) due to digital rectal examination may induce arrhythmia and (or) hemodynamic instability, this examination is often ignored or postponed. The author discusses the safety and efficacy of digital rectal examination in AMI patients. Methods 480 patients were randomly divided into three groups. Group I and group II were AMI patients and group III were non-AMI patients residing in the intensive care unit. The diagnosis of AMI is based on standard myocardial enzymes