急性心肌梗塞溶栓后早期T波倒置的临床意义
作者：陈达开 张建华 陈晓曙 王晓秋
单位：325000 温州市第三人民医院心内科
关键词：T波倒置；冠状动脉再通；溶栓
浙江临床医学000106
摘 要：目的：探讨急性心肌梗塞(AMI)溶栓后早期T波倒置的临床意义。方法：对30例AMI接受溶栓治疗的患者分24小时内T波倒置组(14例)和未倒置组(16例)。依据临床间接血管再通标准观察两组再通情况，同时观察两组患者住院期间临床表现。结果：①两组再通分别为85.7%(12例)和37.5%(6例)(P<0.01)。②两组心血管事件发生率分别为7.1%(1例)和37.5%(6例)(P<0.05)。结论：早期T波倒置提示溶栓成功，血管事件发生率低。
Implication of Early T-wave Inversion after Thrombolysis for Acute Myocardial Infarcton
Chen Dakai
Abstract：Objective: To evaluate the implication of early T-wave inversion following thrombolysis in patient with acute meocardial infarction (AMI). Methods: Following thrombombolysis, thirty patients with AMI were divided into 2 groups: 1. T-wave inversion occurred within 24 hours. 2. Without T-wave inversion. The state of reeannalization in the thrombosed artery were assessed by clinical indirect criteria. Results: The coronary artery patency rate in the two groups was 85.7% (12/14) and 37.5% (6/16) respectively (P<0.01). Cardiac event occurred in 7.1% ( 1/14) and 37.5% (6/16) respectively (P<0.05). Conclusion: Early T-wave inversion after thrombolysis may signify the patency of infarcted coronary artery, and indicates that the incidence of acrdiac event may be reduced.
Keywords：T-wave inversion coronary artery patency thrombelysis
参考文献：
[1]中华心血管病杂志编委会.急性心肌梗塞溶栓疗法参考方案.中华心血管病杂志，1996，24：329.
[2]Gani W，Buchbinder，Marcus H et al.Intmcoronary thrombolysis in evolving mvocardia infarction.Am Heart J1981，101：4～13.
[3]Tunmis C1.Electrocantiographic effectofrepeffusion.Cantiochin， 1987，5：427～445.
[4]Matrtzky S，Rogers WJ，Rciner JS，et al.Earlier Ahe repeffusion of vnfarct related coronary artery.J Am Coll Cardiol，1994，24：378～383.
[5]中华心血管病杂志编委会.全国急性心肌梗塞再灌不治疗研究会纪要.中华心血管病杂志，1996，24：325., 百拇医药
单位：325000 温州市第三人民医院心内科
关键词：T波倒置；冠状动脉再通；溶栓
浙江临床医学000106
摘 要：目的：探讨急性心肌梗塞(AMI)溶栓后早期T波倒置的临床意义。方法：对30例AMI接受溶栓治疗的患者分24小时内T波倒置组(14例)和未倒置组(16例)。依据临床间接血管再通标准观察两组再通情况，同时观察两组患者住院期间临床表现。结果：①两组再通分别为85.7%(12例)和37.5%(6例)(P<0.01)。②两组心血管事件发生率分别为7.1%(1例)和37.5%(6例)(P<0.05)。结论：早期T波倒置提示溶栓成功，血管事件发生率低。
Implication of Early T-wave Inversion after Thrombolysis for Acute Myocardial Infarcton
Chen Dakai
Abstract：Objective: To evaluate the implication of early T-wave inversion following thrombolysis in patient with acute meocardial infarction (AMI). Methods: Following thrombombolysis, thirty patients with AMI were divided into 2 groups: 1. T-wave inversion occurred within 24 hours. 2. Without T-wave inversion. The state of reeannalization in the thrombosed artery were assessed by clinical indirect criteria. Results: The coronary artery patency rate in the two groups was 85.7% (12/14) and 37.5% (6/16) respectively (P<0.01). Cardiac event occurred in 7.1% ( 1/14) and 37.5% (6/16) respectively (P<0.05). Conclusion: Early T-wave inversion after thrombolysis may signify the patency of infarcted coronary artery, and indicates that the incidence of acrdiac event may be reduced.
Keywords：T-wave inversion coronary artery patency thrombelysis
参考文献：
[1]中华心血管病杂志编委会.急性心肌梗塞溶栓疗法参考方案.中华心血管病杂志，1996，24：329.
[2]Gani W，Buchbinder，Marcus H et al.Intmcoronary thrombolysis in evolving mvocardia infarction.Am Heart J1981，101：4～13.
[3]Tunmis C1.Electrocantiographic effectofrepeffusion.Cantiochin， 1987，5：427～445.
[4]Matrtzky S，Rogers WJ，Rciner JS，et al.Earlier Ahe repeffusion of vnfarct related coronary artery.J Am Coll Cardiol，1994，24：378～383.
[5]中华心血管病杂志编委会.全国急性心肌梗塞再灌不治疗研究会纪要.中华心血管病杂志，1996，24：325., 百拇医药