急性心肌梗塞溶栓再通的临床标准与冠脉造影的对比研究  

Comparative Study of Evaluating Coronary Patency after Intravenous Thrombolysis in Acute Myocardial Infarction by Clinical and Coronary Angiographic Criteria

作　　者：郭静萱[1] 葛堪忆[1] 毛节明[1] 李海燕[1] 李伟联 赵一鸣[1] 郭丽君[1] 陈明哲[1] 

机构地区：[1]北京医科大学第三附属医院心内科

出　　处：《心肺血管病杂志》1996年第2期69-70,共2页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：我院对四年来收入的７８例急性心肌梗塞（ＡＭＩ）患者进行静脉溶栓治疗。作者以冠状动脉造影结果为标准，对ＡＭＩ溶栓治疗再通临床标准（参考方案）进行了验证。结果：参考方案的灵敏度为７０．２％，特异性６７．７％，阳性预测值７６．７％，阴性预测值６０．０％，临床准确度６９．２％。提示：参考方案与冠状动脉造影结果有较好的相关性，判定再通的准确性较高。patients with acute myocardial infarction(AMl)were undertaken intravenous thrombolysis treatment during four years.The clinical criteria of patency after thrombolysis was identified according to coronary angiographic criteria.Results:the sensitivity of the clinical criteria is 70.2%,specificity is 67.7%;positive predictive value is 76.7%,negative predictive value is 60.0% and clinical accuracy is 69.2%.The results suggest that there is a close correlationship between clinical criteria and coronary angiographic criteria.

关 键 词：急性心肌梗塞 冠状动脉造影 溶栓治疗 冠脉再通 

分 类 号：R542.22[医药卫生—心血管疾病]