急性ST段抬高型心肌梗死自溶假象对临床预后的影响  

The effect to prognosis of autolysis illusion in Acute st segment elevation myocardial infarction

作　　者：郭曙军[1] 武新民[1] 高雯[1] 

机构地区：[1]巴彦淖尔市医院,内蒙古巴彦淖尔015000

出　　处：《疾病监测与控制》2013年第1期16-18,共3页Journal of Diseases Monitor and Control

摘　　要：目的分析急性ST段抬高型心肌梗死(STEMI)梗死相关血管(IRA)自溶(SR)的假象,探讨自溶假象对临床预后的影响。方法观察56例考虑梗死相关血管(IRA)自溶(SR)而未予静脉溶栓治疗,择期行冠状动脉造影的STEMI患者,根据冠状动脉造影特点分成自溶组(TIMI≥2级)和非自溶组(TIMI0～1级),分析自溶假象对左心室功能及临床转归的影响。结果经冠脉造影证实非自溶18例,占总例数32.1%,该类患者并发症多,预后差。结论自溶假象是影响STEMI患者预后的预测指标。Objective We analyze the illusion of autolysis in infarct related artery, explore the effect to prognosis. Methods We observed 56 cases of patients considered the illusion of autolysis in infarct related artery, who did not accept intravenous thrombolytic therapy, and accepted coronary angiography. according to the characteristics of coronary angiography, We divided them into autolysis （TIMI≥2） and non-self- dissolved （TIMI 0～1 ）, and analyze the effect of illusion of autolysis on left ventricular function and clinical outcome. Results The coronary contrast confirmed non-self-integration are 18 cases, 32.1 % of the all, have more complications and less Survival rate. Conclusion The illusion of autolysis in acute st segment elevation myocardial infarction is a predictive indicator of prognosis.

关 键 词：急性心肌梗死 自溶 假象 预后 

分 类 号：R542.22[医药卫生—心血管疾病]