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来源:百度知道 编辑:UC知道 时间:2024/09/21 12:33:32
[摘要]目的:探讨急性心肌梗死再灌注心律无常以及胸痛加剧现象,以了解和掌握溶栓治疗相应并发症的防治,降低急性心肌梗死的死亡率。方法:将符合溶栓条件的32例AMI心患者进行回顾性分析,分析尿激酶溶栓治疗冠状动脉再通后心律失常,胸痛加剧现象。结果:所有病人溶栓均有临床再通22例(69%)发生再灌注心律失常,5例(16%)胸痛一度加剧,但再灌注心律失常在胸痛加剧5例中并未出现。讨论:急性心肌梗死(AMI)静脉溶栓,再灌注心律失常与胸痛加剧现象,可能均与再灌注损伤有关。

[关键词]急性心肌梗塞尿激酶 溶栓 心律失常

[Abstract] Objective: To investigate the acute myocardial infarction and reperfusion cardiac chest pain exacerbated by the phenomenon of impermanence, as well as to understand and grasp the complications of thrombolytic therapy in the prevention and treatment accordingly, reduce the mortality rate of acute myocardial infarction. Methods: The Thrombolysis in line with the conditions of 32 cases of heart patients with AMI were retrospectively analyzed, analysis of urokinase thrombolytic therapy after coronary artery reperfusion arrhythmia, chest pain exacerbated the phenomenon. Results: All patients have clinical thrombolytic recanalization in 22 cases (69%) happened reperfusion arrhythmias, 5 cases (16%) chest pain was aggravated, but reperfusion arrhythmias exacerbated in five cases of chest pain in not happening. Discussion: acute myocardial infarction (AMI) intravenous thrombolysis, reperfusion arrhythmia and chest pain exacerbated by the phenomenon may have with reperfusion injur