^（99m）Tc－PYP心肌闪烁图测定急性心肌梗塞与临床关系  

^(99m)Tc-PYP myocardial scintigrams in patients with acute myocardial infarction

作　　者：陈秋雄[1] 李光绍[1] 李燕屏[1] 陈佩复 

机构地区：[1]广州医学院第二附属医院

出　　处：《中华心血管病杂志》1994年第6期414-415,共2页Chinese Journal of Cardiology

摘　　要：对８０例急性心肌梗塞（ＡＭＩ）患者及１２例非ＡＭＩ患者作９９ｍ锝－焦磷酸盐（９９ｍＴｃ－ＰＹＰ）心肌闪烁图，探讨其临床应用价值。结果显示：８０例ＡＭＩ组９９ｍＴｃ－ＰＹＰ心肌闪烁图Ｑ波ＡＭＩ敏感性（６６／６７例）为９８％，非Ｑ波ＡＭＩ组（１１／１３例）为８５％（Ｐ＜０．０１），非ＡＭＩ组阳性者（１／１２例），即特异性为９２％。环形者显示前壁巨大梗塞（３５．８±９．８ｃｍ２）预后不良。Abstract Eighty patients with AMI and 12 non-AMI had myocardial scintigrams by 99m Tc-PYP. The results showed that the sensitivity was 98% in-QAMI and 85% in non-Q-AMI (P<0.01). The specificity was 92%. The doughnut pattern sign designated patients with very large infarcts, usually in anterior wall and the prognosis was the worst.

关 键 词：心肌梗塞 心肌闪烁图 锝99 焦磷酸盐 诊断 

分 类 号：R542.220.4[医药卫生—心血管疾病]