溶栓后早期T波倒置对闭塞冠状动脉再通的诊断价值  

Diagnostic value for patency of infarct related coronary artery by earlier T wave inversion after thrombolysis

作　　者：王岳松[1] 孙葆青[1] 章萍[1] 王社临[1] 

机构地区：[1]马鞍山市人民医院心内科,安徽马鞍山243001

出　　处：《临床心血管病杂志》1999年第2期68-69,共2页Journal of Clinical Cardiology

摘　　要：目的 :探讨溶栓后早期 T波倒置对闭塞冠状动脉 (冠脉 )再通的诊断价值。方法 :对 42例AMI接受溶栓治疗的患者分为 2 4h内 T波倒置组和未倒置组 ,依据临床间接血管再通标准观察两组再通情况。结果 :1两组血管再通率分别为 90 %和 2 7% ( P <0 .0 1) ;2溶栓后早期 T波倒置预示冠脉再通的敏感性、特异性和诊断价值分别为 90 %、72 %和 81%。结论 :早期Objective:To evaluate the diagnostic value for patency of infarct related coronary artery by earlier T wave inversion after thrombolysis.Method:42 cases receiving thrombolysis were divided into two groups:the one with T wave inversion within 24 hours and the other without that within 24 hours,the patency rate of infarct related coronary artery were assessed by uniform clinical criteria.Result:The patency rate of two groups was 90% and 27% respectively,showing significant difference (P< 0.01 ).Conclusion:Earlier T wave inversion after thrombolysis is a effective criteria for patency of infarct related coronary artery.

关 键 词：T波倒置 心肌梗塞 冠状动脉再通 溶栓疗法 

分 类 号：R542.22[医药卫生—心血管疾病]