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长期以来,临床上一直将有无病理性Q波作为鉴别穿壁性与非穿壁性心肌梗塞的诊断标准。作者积累了二十多年的病理资料,并与心电图进行对照,发现此标准并不完全可靠。作者通过对114例首次发生急性心肌梗塞患者的观察,将心肌梗塞分为Q波型与无Q波型,后者又进一步分为S—T段型、T波型与正常心电图型。以上诸型在病理生理、临床及预后方面存在以下差异:①Q波型心肌
For a long time, clinical pathological Q wave will have been used as a diagnostic criteria to identify transmural and non-transmural myocardial infarction. The author has accumulated more than 20 years of pathological data, and compared with the ECG, found that this standard is not entirely reliable. The author of 114 cases of first-time acute myocardial infarction observed in patients with myocardial infarction is divided into Q wave and no Q wave, the latter is further divided into S-T segment, T wave and normal ECG. The above types in the pathophysiology, clinical and prognosis of the following differences: ① Q-wave myocardial