转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2015年
4期
7-8,10
,共3页
急性心肌梗死%静脉溶栓治疗%ST 段
急性心肌梗死%靜脈溶栓治療%ST 段
급성심기경사%정맥용전치료%ST 단
acute myocardial infarction%intravenous thrombo-lytic therapy%ST segment
目的：观察和分析急性心梗溶栓再通后 ST 段再抬高的临床特点．方法：选取2010-12／2014-12我院收治的完成静脉溶栓治疗的急性心肌梗死患者48例作为临床研究对象．观察和分析患者冠状动脉再通情况和 ST 段抬高情况．结果：本组48例急性心肌梗死患者中，共有29例患者的血管再通，再通率为60．42％，其中有3例患者在溶栓治疗结束之后0～40 min 后再次发生 ST 抬高现象，ST 段抬高程度为0．4～1．1 mV，发病距离静脉溶栓治疗的时间为2．0～6．0 h，其中2例患者 ST 再抬高时伴有胸痛症状加剧情况．经冠状动脉造影检查结果显示，3例 ST 段再抬高患者的梗死相关血管均完全再通（100％）．其中梗死相关血管包括左前降支近端病变1例，狭窄程度为65％～85％；左前降支中段病变1例，狭窄程度为70％～85％；右冠状动脉中段1例，狭窄程度为75％～90％．冠状动脉血流监测显示，TIMI2级1例，TIMI3级2例．结论：急性心肌梗死溶栓再通后出现 ST 段再抬高现象可以作为心肌再灌注成功的重要指标．
目的：觀察和分析急性心梗溶栓再通後 ST 段再抬高的臨床特點．方法：選取2010-12／2014-12我院收治的完成靜脈溶栓治療的急性心肌梗死患者48例作為臨床研究對象．觀察和分析患者冠狀動脈再通情況和 ST 段抬高情況．結果：本組48例急性心肌梗死患者中，共有29例患者的血管再通，再通率為60．42％，其中有3例患者在溶栓治療結束之後0～40 min 後再次髮生 ST 抬高現象，ST 段抬高程度為0．4～1．1 mV，髮病距離靜脈溶栓治療的時間為2．0～6．0 h，其中2例患者 ST 再抬高時伴有胸痛癥狀加劇情況．經冠狀動脈造影檢查結果顯示，3例 ST 段再抬高患者的梗死相關血管均完全再通（100％）．其中梗死相關血管包括左前降支近耑病變1例，狹窄程度為65％～85％；左前降支中段病變1例，狹窄程度為70％～85％；右冠狀動脈中段1例，狹窄程度為75％～90％．冠狀動脈血流鑑測顯示，TIMI2級1例，TIMI3級2例．結論：急性心肌梗死溶栓再通後齣現 ST 段再抬高現象可以作為心肌再灌註成功的重要指標．
목적：관찰화분석급성심경용전재통후 ST 단재태고적림상특점．방법：선취2010-12／2014-12아원수치적완성정맥용전치료적급성심기경사환자48례작위림상연구대상．관찰화분석환자관상동맥재통정황화 ST 단태고정황．결과：본조48례급성심기경사환자중，공유29례환자적혈관재통，재통솔위60．42％，기중유3례환자재용전치료결속지후0～40 min 후재차발생 ST 태고현상，ST 단태고정도위0．4～1．1 mV，발병거리정맥용전치료적시간위2．0～6．0 h，기중2례환자 ST 재태고시반유흉통증상가극정황．경관상동맥조영검사결과현시，3례 ST 단재태고환자적경사상관혈관균완전재통（100％）．기중경사상관혈관포괄좌전강지근단병변1례，협착정도위65％～85％；좌전강지중단병변1례，협착정도위70％～85％；우관상동맥중단1례，협착정도위75％～90％．관상동맥혈류감측현시，TIMI2급1례，TIMI3급2례．결론：급성심기경사용전재통후출현 ST 단재태고현상가이작위심기재관주성공적중요지표．
AIM:To observe and analyze clinical characteristics of ST-segment re-elevation after acute myocardial infarction (AMI)recanalization.METHODS:A total of 48 cases with AMI who completed intravenous thrombolytic therapy during De-cember 2012 and December 2014 in our hospital were selected as research object.ST segment re-elevation and acute myocardial in-farction recanalization were observed and analyzed.RESULTS:Among 48 AMI patients,29 of them recanalized with the recanali-zation rate of 68.18%,including 3 cases whose ST segment re-el-evated 0 ~40 min after thrombolytic therapy with ST segment be-ing 0.4 ~1.1 mV.Time period between the incidence and venous thrombolytic therapy was 2.0 ~6.0 h.And 2 patients with ST segment re-elevation accompanied aggravated chest pain symp-toms.By coronary angiography,it showed that the infarction relat-ed artery in 3 cases with ST segment re-elevation recanalized com-pletely (100%).The infarction related vessels included proximal lesions of left anterior descending (LAD)in 1 cases with the ste-nosis degree being 65% ~85%,middle lesions of LAD in 1 cases with the stenosis degree being 70% ~85%,middle lesions of right coronary artery in 1 case with stenosis degree being 75% ~90%.The coronary artery blood flow monitoring showed 1 cases of TIMI2 and 2 cases of TIMI3.CONCLUSION:ST segment re-elevation after thrombolytic recanalization in patients with AIM can be used as an important indicator of successful myocardial reperfusion.
