摘要
目的分析８７例急性心肌梗塞（ＡＭＩ）尿激酶溶栓治疗再通和未通ＱＴ离散度（ＱＴｄ）及其与恶性心律失常发生的关系。方法用常规方法测量８７例ＡＭＩ一周内心电图中任何一导联ＱＴｄ；设３０例正常对照，计算资料用均数±标准差表示（ｘ±ｓ），两组间均值比较用配对的ｔ检验，组间阳性率比较采用χ２检验，Ｐ＜０．０５为差异显著。结果ＡＭＩ组较对照组ＱＴｄ延长，ＡＭＩ尿激酶溶栓治疗再通组较未通组则短，均差异显著；ＡＭＩ组ＱＴｄ延长者发生室颤、室速，Ⅲ°－ＡＶＢ明显低于未通组，均差异显著，且住院期间无死亡。结论ＱＴｄ测定为ＡＭＩ患者恶性心脏事件发生提供了一个有用的非浸入性心电学方法和判定指标；ＡＭＩ患者住院期间发生恶性心律失常如果发现及时，诊断准确，处理得当，效果会令人满意。
Objectives Analyse the relations between the reperfusion,no-reperfusion,QT dispersion (QTd) of the 87 cases with acute myocardial infarction(AMI).urokinase(UK).Thrombolytil therapy and malingent arrhythmia.Motheod Measure any conneted QTd in a week electrocardiogam of 87 cases-AMI by the routine method.Suppose 30 cases as the normal contrast.Showing the computer evidences by (±s).Testing the epualvalue comparision between two forms by the paird T,examing the positive rate between them by χ 2,the difference of P<0.05 is evidence.Reaults The QTd in AMI group is longer than the comparative one,the reperfusion of AMI,UK.Thrombolytic Therapy is shorter than the no-reperfusion.There is the marked difference between them.The extender of QTd in AMI from will occur more Ventricular Febluration.Ventricular Tachycardia and Ⅲ°-AVB than the no-extender,the one group of the reperfursion of AMI.UK.thrombolytic therapy will occur less obviously Ventricular Febluration and Ⅲ°-AMB than the one of no-reperfusion.There is also the marked difference between them.No death occurs during the patients′ hospitalization.Conclusion The measurement of QTd will offer a useful no-intrusive electrocardiolegy method and a set quota for the malignent heart cases of the AMI patients.During the AMI patients′ hospitalization,if the melignent arrhythmias is discovered at once,diagnosed accurately,and treated properly,its result is satisfactory.
出处
《宁夏医学杂志》
CAS
1999年第1期19-20,共2页
Ningxia Medical Journal
