岭南急诊医学杂志
嶺南急診醫學雜誌
령남급진의학잡지
LINGNAN JOURNAL OF EMERGENCY MEDICINE
2013年
1期
17-18
,共2页
血小板平均容积%急性心肌梗死%溶栓%再通
血小闆平均容積%急性心肌梗死%溶栓%再通
혈소판평균용적%급성심기경사%용전%재통
mean platelet volume%acute myocardial infarction%thrombolysis%recanalization
目的：观察血小板平均容积（MPV）与急性心肌梗死（AMI）患者溶栓治疗后梗死相关动脉（IRA）再通的关系，确定AMI患者溶栓治疗后冠状动脉再通的一个简明的预测指标。方法：对158例 AMI 静脉溶栓患者测定MPV，MPV≥9．0 fl 为观察组，MPV＜9．0 fl 为对照组，比较两组 IRA 再通情况。结果：观察组 IRA 再通率为73．7％，低于对照组的89．8％（P＜0．05）。结论：MPV增大的AMI溶栓治疗再通率低，需及时调整治疗方案，及时准备直接经皮冠状动脉介入治疗（PCI）开通IRA。
目的：觀察血小闆平均容積（MPV）與急性心肌梗死（AMI）患者溶栓治療後梗死相關動脈（IRA）再通的關繫，確定AMI患者溶栓治療後冠狀動脈再通的一箇簡明的預測指標。方法：對158例 AMI 靜脈溶栓患者測定MPV，MPV≥9．0 fl 為觀察組，MPV＜9．0 fl 為對照組，比較兩組 IRA 再通情況。結果：觀察組 IRA 再通率為73．7％，低于對照組的89．8％（P＜0．05）。結論：MPV增大的AMI溶栓治療再通率低，需及時調整治療方案，及時準備直接經皮冠狀動脈介入治療（PCI）開通IRA。
목적：관찰혈소판평균용적（MPV）여급성심기경사（AMI）환자용전치료후경사상관동맥（IRA）재통적관계，학정AMI환자용전치료후관상동맥재통적일개간명적예측지표。방법：대158례 AMI 정맥용전환자측정MPV，MPV≥9．0 fl 위관찰조，MPV＜9．0 fl 위대조조，비교량조 IRA 재통정황。결과：관찰조 IRA 재통솔위73．7％，저우대조조적89．8％（P＜0．05）。결론：MPV증대적AMI용전치료재통솔저，수급시조정치료방안，급시준비직접경피관상동맥개입치료（PCI）개통IRA。
Objective To observe the relationship between the mean platelet volume(MPV) and the recanalization of infarct related artery ( IRA ) in patients with acute myocardial infarction (AMI) after thrombolysis treatment,to determine a concise indicator to predict recanalization in patients with AMI after thrombolytic treatment. Methods:MPV of 158 patients with AMI were determined before thrombolytic therapy. MPV≥9.0fl divided into observation group and MPV < 9.0fl as control group. The recanalization of IRA was compared between the two groups. Results:The recanalization rate of IRA in observation group was 73.7%,lower than 89.8% in the control group (P<0.05 ). Conclusion: The recanalization rate after thrombolysis in patients with AMI increased value of MPV get lower,need to adjust treatment,timely provision of direct percutaneous coronary intervention ( PCI ) for IRA.
