急性心肌梗塞恢复期核素心功能测定的意义  

SIGNIFICANCE OF NUCLIDE TEST FOR HEART FUNCTION AT CONVALESCENCE WITH ACUTEMYOCARDIAC INFARCTION

作　　者：董吁钢[1] 陈普照 叶慧膺[1] 胡平[2] 石锐[2] 

机构地区：[1]中山医科大学附属第一医院心内科 [2]中山医科大学附属第一医院核医学科

出　　处：《广东医学》1991年第4期5-7,共3页Guangdong Medical Journal

摘　　要：滥用苯丙胺引起急性心肌梗塞(MI)报道很少,本文描述1例静脉内注射苯丙胺导致MI发作的病人。病例报告患者,男,27岁。在半小时内自己静注苯丙胺1.5 g。1h后感觉不适,4h后剧烈胸痛。胸痛发作2h后心电图示:前外侧壁MI,胸片正常。给予海洛英5mg及普鲁氯哌嗪12.5 mg静脉内给药。不久,心脏停搏,心电监护仪示:室颤。旋即给予电击成功。再给予链激酶。24h心电监护示:频繁室性早搏,几次自动终止室性心动过速,周期性窦性节律。以后逐渐康复,无并发症。血液检查示:谷丙转氨酶224 U/L,乳酸脱氢酶556 U/L,γ-谷氨酰转移酶104 U/L。未发现肝炎病毒和爱滋病病毒抗体。Forty one patient with acute mycardial infarction at convalescence their heart functions were checked by radionuclide ventriculograms 1. The cardiac function of left ventricle in the groups of myocardial infarctions of anterior and extensive anterior wall were decreased in turn. 2. The entire left ventricular systolic and diastolic functions were not in accordance with the damage when the infarction area was lesser. 3. In addition to myocardial infarction area the local ejecting fractln of uninfarcted area dropped may also be seen.

关 键 词：心肌梗塞 心功能测定 放射性核素 

分 类 号：R542.220.7[医药卫生—心血管疾病]