梗死周围阻滞与急性下壁心肌梗死并发症的关系  

The relation between peri-infarction block and the complications of acute inferior wall myocardial infarction

作　　者：韩学斌[1] 冯梅[1] 顾家宝[1] 刘景德[1] 白春林[2] 

机构地区：[1]山西省人民医院,030012 [2]山西医科大学第二医院

出　　处：《山西医药杂志》2004年第1期14-15,共2页Shanxi Medical Journal

摘　　要：目的　探讨梗死周围阻滞与急性下壁心肌梗死并发症的关系。方法　总结 12 4例急性下壁心肌梗死住院病例 ,根据心电图分为梗死周围阻滞组 (4 1例 )与无梗死周围阻滞组 (83例 ) ,对比分析两组并发症发生率。结果　急性下壁心肌梗死合并梗死周围阻滞发生率为 33.1% ,梗死周围阻滞组室性心律发生率为 4 3.9% ,较无梗死周围阻滞组 19.3%高 (P<0 .0 0 1)。结论　心电图存在梗死周围阻滞可作为鉴别梗死后是否发生室性心律失常的一个标志 ,急性下壁心肌梗死患者有梗死周围阻滞发生室性心律失常的危险性高 。Objective To study the relation between peri-infarction block and the complications of acute inferior wall myocardial infarction.Methods One hundred and twenty-four patients with acute inferior wall myocardial infarction were divided according to their electrocardiograms into two groups,one with peri-infarction block (41 cases) and another without (83 cases),to compare the incidence of complications of the two groups.Results The rate of acute inferior wall myocardial infarction with peri-infarction block was 33.1%.The rate of ventricular arrhythmia in the group of peri-infarction block (43.9%) was higher than that in the group without peri-infarction block (19.3%).Conclusion Peri-infarction block can be used as an indicator for ascertaining the presence or absence of ventricular arrhythmia;cases of inferior wall myocardial infarction with peri-infarction block present a greater danger of incurring ventricular arrhythmia.

关 键 词：梗死周围阻滞 急性下壁心肌梗死 并发症 心电图 室性心律失常 

分 类 号：R542.22[医药卫生—心血管疾病] R541.7[医药卫生—内科学]