急性心肌梗死溶栓再灌注性心律失常的发病特点及防治措施  

Pathogenesis and Prevention of Thrombolytic Reperfusion Arrhythmia in Acute Myocardial Infarction

作　　者：张兵[1] 何顺雨 ZHANG Bing;HE Shunyu(Department of Emergency,Xinmin People's Hospital,Xinmin 110300,China)

机构地区：[1]新民市人民医院急诊科,辽宁新民110300

出　　处：《中国医药指南》2021年第10期92-93,共2页Guide of China Medicine

摘　　要：目的探讨急性心肌梗死溶栓再灌注性心律失常的发病特点及防治措施。方法将我院2019年6月至2020年6月收治的112例急性心肌梗死患者作为研究对象,所有患者均给予瑞替谱酶溶栓的治疗方式,回顾性分析患者的临床资料,分析急性心肌梗死溶栓再灌注性心律失常的发病特点和防治措施。结果112例急性心肌梗死患者中,有75例(66.96%)患者发生了再灌注性心律失常,特别是前降支冠状动脉梗死患者和右冠状动脉梗死患者发生再灌注心律失常的概率最为明显;但有91例(81.25%)患者实施溶栓后获得了冠状动脉的再次疏通。结论对急性心肌梗死患者进行溶栓治疗可获得冠状动脉的再通,对患者的病情恢复有一定的促进作用。然而,这种治疗方式也存在着较高的心律失常发生概率,因此,必须对患者的生命体征和心电图进行严密的监测,若出现心律失常需采取相应的措施,以达到较好的预防效果。Objective To investigate the pathogenesis and prevention of thrombolytic reperfusion arrhythmia in acute myocardial infarction.Methods A total of 112 patients with acute myocardial infarction treated in our hospital from June 2019 to June 2020 were studied and analyzed.The clinical data of patients were reviewed and analyzed.All patients were given retiprose thrombolytic therapy,and the clinical data of the patients were retrospectively analyzed.The characteristics and prevention measures of thrombolytic reperfusion arrhythmia in acute myocardial infarction were analyzed.Results Among 112 patients with acute myocardial infarction,75 cases(66.96%)had reperfusion arrhythmia,especially probability of reperfusion arrhythmia was the most obvious in patients with coronary artery infarction and right coronary artery infarction,but 91 patients(81.25%)received coronary artery dredging after thrombolysis.Conclusion The recanalization of coronary artery can be obtained after thrombolytic therapy for acute myocardial infarction,which can promote the recovery of acute myocardial infarction patients'condition.However,there is also a high probability of arrhythmia in this treatment.Therefore,it is necessary to observe the vital signs and electrocardiogram of the patients in time and take corresponding measures to achieve a better preventive effect.

关 键 词：急性心肌梗死 溶栓 再灌注性心律失常 发病特点 防治措施 

分 类 号：R542.22[医药卫生—心血管疾病]