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老年急性心肌梗塞溶栓治疗对左心室功能的改善作用 被引量:4

Effects of thrombolytic reperfusion on left ventricular function in elderly acute myocardial infarction
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摘要 目的 :评价链激酶溶栓治疗老年急性心肌梗塞 (AMI)对左心室功能的影响。方法 :应用二维超声心动图对 2 9例 AMI接受链激酶溶栓治疗和 2 1例未溶栓的 AMI患者 ,分别在急性期及 6个月后随访时测量并计算左心室容积 (EDV和 ESV) ,射血分数 (EF)等参数。结果 :急性各组心功能无差异。随访期再通组 EF值明显增加 ,且明显高于未通组和未溶栓组。结论 :链激酶溶栓能明显减轻老 AMI患者的左心室扩张 。 Objective:The aim of this study was to assess the effects of reperfusion by streptodinase thrombolytic therapy on left ventricular function.Methods:29 elderly patients with first acute myocardial infarction(AMI) receiving thrombolytic therapy were divided into reperfusion group,non reperfusion group according to the clinical characteristics.21cases with AMI not receiving thrombolytic therapy was control group.Results:EF was significantly improved during follow up in reperfusion group and higher than that in non reperfusion( P <0 01).Conclusion:The results suggest that reperfusion with thromblysis after AMI can improve heart function and prognosis. Author′s address Qingdao No1 Sanatorium of Jinan Military Region,Qingdao,266071
作者 汪涛 胡咏梅
出处 《心血管康复医学杂志》 CAS 1999年第1期14-16,共3页 Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词 左心室功能 溶栓治疗 链激酶 急性心肌梗塞 AMI 老年 二维超声心动图 Thrombolytic therapy Acute myocardial infarction Left ventricular function
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  • 1陈国伟,(美)郑宗锷主编..现代心脏内科学[M].长沙:湖南科学技术出版社,1994:1402.

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