论文部分内容阅读
目的 对比观察急性心肌梗死 (AMI)冠脉造影正常和异常患者的临床表现。方法 同期 14 4例AMI患者 ,于发病 12h内行尿激酶溶栓 ,并于心梗后 7～ 14d内行经皮冠状动脉造影术 ,梗死相关动脉 (IRA)再通且无冠脉病变者为冠脉正常组 ,再通且有冠脉病变及PTC成功者为冠脉异常组。记录二组患者易患因素 ,观察ST段抬高总和及 90min回落程度 ,比较二组住院期间心脏事件发生率 ,并于出院前行超声心动图检查。结果 14 4例患者中冠脉正常组 10例 ,冠脉异常组 134例 ,前者较后者年龄轻 ,男性 ,吸烟等诱因多见 ;造影时TMI 3级多见 ;ST段抬高总和于 90min回落明显 (P <0 .0 5 ) ;住院期间心脏事件发生率明显降低 (P <0 .0 5 ) ;出院前超声心动图提示左室射血分数较高 (P <0 .0 5 )。结论 AMI冠脉造影正常者相对年龄轻 ,吸烟诱因多 ,住院期间心功能和临床预后好。
Objective To compare the clinical manifestations of patients with normal and abnormal coronary angiography (AMI) on acute myocardial infarction (AMI). Methods 14 4 AMI patients were treated with urokinase thrombolysis within 12 hours of onset and percutaneous coronary angiography 7 to 14 days after myocardial infarction. The infarct-related artery (IRA) recanalization and coronary artery disease were coronary artery The normal group, recanalization and coronary artery disease and PTC were successful in patients with coronary artery abnormalities. The predisposition factors of two groups of patients were recorded. The sum of ST-segment elevation and the degree of 90-minute fall were observed. The incidence of cardiac events in the two groups were compared and echocardiography was performed before discharge. Results 14 cases of coronary artery normal group of 10 patients, abnormal coronary artery group of 134 cases, the former than the latter young, male, smoking and other incentives more common; TMI 3 angiography more common; ST segment sum to 90min (P <0.05). The incidence of cardiac events during hospitalization was significantly lower (P <0.05). Pre-discharge echocardiography suggested a higher left ventricular ejection fraction (P <0.05). Conclusion The normal AMI coronary angiography is relatively young, smoking predisposing factors, cardiac function and clinical prognosis during hospitalization is good.