摘要
为探讨Aldrich公式预测急性心肌梗死范围的应用价值,对190例前壁、133例下壁心肌梗死患者根据ST段抬高用Aldrich上公式预测梗死范围,并与7～10天、20±9天的心电图QRS记分法心肌梗死范围作对照.结果显示:未溶栓组预测值与QHS记分值相关性良好.前壁预测值除与7～10天记分值外差异均有显著意义(P<0.05),下壁预测值则与急性期最大记分值差异无显著意义(P>0.05).而相应的溶栓组与QRS记分值相关性较差或完全无关.认为Aldrich公式计算对未溶栓组前壁梗死范围计算较可靠,而相应的下壁预测值偏大;溶栓再通后下再适用.
To evaluate applied value of Aldrich formula in predicting infarction size of acute myoeardial infarction, predictive infarction size of 190 cases with anterior and 133 cases with posterior myocardial infarction according to Aldrich formula were calculated and compared with infarction size by QRS scoring in 7~ 10 days and 20 ?9 days after infarction for control. Result showed that correlation between values of predictive and QRS scoring infarction size was significant in non-thrombolytic group, meanwhile there were significant difference (P < 0.05) between values of predictive and all but 7 ~ 10 days after infarction of QRS scoring infarct size in anterior while in posterior myoeardial infarction only that between predictive and maximum QRS scoring infarction size within 1~7 days after infarction was not significant (P> 0.05) .Correspondingly those of correlation in throm-bolytic group were faint or irrespective. In conclusion, predictive infarction size calculated by Aldrich formula is reliable for non-thrombolytic group of anterior myoeardial infarction, correspondingly that is not suitable to cases with successful reperfusion of thrombolysis.
出处
《心电学杂志》
1999年第3期134-136,共3页
Journal of Electrocardiology(China)
