急性Q波心肌炎与急性心肌梗死临床分析  

The clinical analysis of acute Q-wave myocarditis and acute myocardial infarction

作　　者：李雪丽[1] 周宇廷[2] 于运海 

机构地区：[1]佳木斯大学医学院一附院 [2]黑龙江省农垦总局机关医院 [3]讷河市人民医院内科

出　　处：《黑龙江医药科学》2000年第3期15-15,共1页Heilongjiang Medicine and Pharmacy

摘　　要：目的：以急性Q波心肌炎与急性心肌梗死（AMI）作对比，提供两者鉴别依据．方法：统计本院6年来急性Q波心肌炎患者18例，急性心肌梗死患者46例．动态观察心电图和心肌酶谱以及临床情况．结果：急性Q波心肌炎较急性心肌梗死发病较缓；肌酸磷酸激酶（CK）、谷草转氨酶（GOT）升高程度较急性心肌梗塞明显降低；急性心肌炎心电图上Q波3-7d后消失，T波治疗后2-3周恢复正常，ST段抬高但无对应导联ST段压低．结论：本研究表明，急性心肌炎有急性心肌梗死类型Q波和ST段抬高者预示病情严重．可依据临床情况心肌酶谱、心电图演变而与急性心肌梗死进行鉴别．Objective: To provide evidence for differential diagnosis on the basis of the comptrison of acute myocarditis with acute myocardial infarction. Method: In acute myocarditis patients (with concomitant Q-wave in electrocardiogram) and 46 myocardial inboion patients, we dynamically obersered their electrocardiogram, myocardial enzymogram and symptoms. Result:Compared with myocardial infarction, the invasion of acute Q-wave myocarditis was slower.and the CK and GOT were markedly increased in acute myocardial infarction. The Q wave of acute myocarditis in electrocardiogram disappeared 3 to 7 days after treatment its T wave returned to normal 2 to 3 weeks aller treatment and its S-T segment rose with no descent in the S-T segment of corresponding lead. Conclusion: in the acute myocarditis the similar pathologic Q wave and the S-T segInent rise to acute myocardial infarction predicts severe condition The acute myocarditis can be differentiated from acute myocardial infartion by the clinical condition, the myocardial zomogram and the changes of electrocardiogram.

关 键 词：急性Q波心肌炎 急性心肌梗死 鉴别诊断 

分 类 号：R542.220.4[医药卫生—心血管疾病]