常规心电图判定急性心肌梗塞范围并发症及与预后的关系  

IUDGEMENT OF THE RELATION AMONG THE RANGE,THE COMPLICATIONS AND THE PROGNOSIS OF ACUTE MYOCARDIAL INFARCTION BY REGUAR ELECTROCARDIOGRAM (ECG)

作　　者：郭文斌[1] 于滨[1] 迟元 乔文海[1] 王书清[1] 周晓丽[1] 郑明华[1] 

机构地区：[1]教学医院.齐齐哈尔市第一医院心血管内科

出　　处：《齐齐哈尔医学院学报》1992年第4期169-173,共5页Journal of Qiqihar Medical University

摘　　要：本文对104例急性心肌梗塞(AMI)患者进行Selvester梗塞范围评分,并分析、探论QRS记分与住院期间心律失常、心力衰竭、心源性休克及住院病死率之间的关系。结果,有并发症者的QRS记分明显高于无并发症者(P均<0.01)。QRS记分10分以上者,有可能发生心源性休克;QRS记分7分以上的心律失常,心力衰竭发生率及住院病死率较7分以下组明显增高(P<0.01、P<0.01、P<0.05)。认为QRS记分7分以上可做为判定AMI预后不良的一项指标。In this paper, the author made Selvester Score of the range of Acute Myocardial Infarction ( AMI ) for 104cases, then analysed and studied the reiation among the QRS Score and Cardie Arrhythmia, Cardiac Failure, Cardie Shock, Death Rate during hospitalization.The results showed that the QRS Score of the Patients with complications was higher than the pati-ents without complications(P<0.01).The pationts with QRS Score more than 10 are likely to have cardie shock;the pations with more than 7 QRS Score are easer to have cardiac arrhythmia, cardiac failure and death dur-ing hospitalization than the patients with QRS Score less than 7(P<0.01, P<0.01, P<0.05).So that, If QRS Score is higher than 7, we can cinsider that the prognosis of AMI will not be good.

关 键 词：常规心电图 急性心肌梗塞范围 QRS记分 

分 类 号：R[医药卫生]