摘要
目的分析在进行急性ST段抬高心肌梗死急诊静脉溶栓的患者治疗过程中,发生再灌注时间与心律失常的关系及临床特点。方法将46例进行急诊静脉溶栓治疗的急性ST段抬高心肌梗死患者作为观察对象,采用回顾性分析的方法,归纳其发生再灌注心律失常的类型、梗死部位、梗死动脉开通时间与心律失常的关系。结果 46例中有24例发生再灌注心律失常,其类型包括严重窦性心动过缓合并低血压患者2例(8.3%),室性心动过速患者3例(12.5%),加速性室性自搏律、心房颤动患者4例(16.7%),心室颤动患者4例(16.7%),一次窦性心动过缓患者5例(20.8%),室性早搏患者2例(8.3%),房室传导阻滞患者4例(16.7%)。发生再灌注心律失常的主要梗死部位集中在心脏前壁、广泛前壁、下壁、下壁合并右室或(和)正后壁。再灌注心律失常的发生与梗死相关动脉的开通时间在6 h以下的发生率高于6 h以上的发生率,差异有统计学意义(P<0.05)。结论急性ST段抬高心肌梗死进行急诊静脉溶栓治疗患者发生再灌注心律失常的现象比较常见,医护人员需要对其进行密切监护、及时发现,并采用恰当的方式进行控制和治疗,为患者的生命安全提供保障。
Objective To analysis the relationship and clinical features of reperfusion arrhythmia and time in acute ST segment elevation myocardial infarction（ MI） in the process of emergency patients with venous thrombolysis treatment. Methods 46 cases with emergency intravenous thrombolysis treatment patients who in acute ST segment elevation myocardial infarction were selected for observation. The retrospective analysis was used to summarized the relationship of arrhythmia between the types of reperfusion arrhythmia,infarction and infarct artery opened time. Results 24 cases happened reperfusion arrhythmia,including 2 cases（ 8. 3%） with severe hypotension and sinus bradycardia,3（ 12. 5%） cases with ventricular tachycardia,4（ 16. 7%） cases with acceleration of ventricular cardiac law,4（ 16. 7%） cases with ventricular fibrillation,5（ 20. 8%） cases with sinus bradycardia,2（ 8. 3%） cases with ventricular premature beat,4（ 16. 7%） cases with atrioventricular block. The main infarction site of reperfusion arrhythmia was in extensive anterior wall,wall and lower wall under the wall area. The occurrence of reperfusion arrhythmia and infarction related artery under six hours and the incidence of the opening of the time is higher than the incidence rate of more than six hours（ P〈0. 05）. Conclusion Reperfusion arrhythmia is a common phenomenon in cute ST segment elevation myocardial infarction in the emergency patients with venous thrombolysis treatment. Closely monitor and timely discover is quite important for these patients.
出处
《宁夏医学杂志》
CAS
2016年第3期230-231,共2页
Ningxia Medical Journal
关键词
急性心肌梗死
急诊静脉溶栓治疗
再灌注心律失常
Acute myocardial infarction
Emergency intravenous thrombolysis treatment
Reperfusion arrhythmia
