论文部分内容阅读
分析30例首次急性心肌梗塞接受静脉溶栓治疗3～4周进行左室造影检查，其中获得梗塞相关血管再通与未通各15例。结果显示：冠状动脉再通组室壁瘤的发生率为13．3％，显著低于冠状动脉未通组的53．3％（P＜0．05），且再通组与未通组相比，左心功能改善，室性心律失常发生率降低，分别为（5／15与9／15），提示：静泳溶栓治疗后梗塞相关冠脉再通可显著降低室壁瘤的发生率，从而改善患者的预后。
Analysis of 30 cases of the first acute myocardial infarction received intravenous thrombolytic therapy for 3 to 4 weeks for left ventricular angiography, which obtained infarct-related vascular recanalization and unresectable in 15 cases. The results showed that the incidence of aneurysm in coronary reperfusion group was 13.3%, which was significantly lower than that in non-coronary artery group (53.3%, P <0.05) The improvement of left ventricular function and the reduction of ventricular arrhythmia were (5/15 vs 9/15) respectively, suggesting that infarct-related coronary recanalization could significantly reduce the incidence of aneurysm after thrombolytic therapy , Thereby improving the patient’s prognosis.