摘要
了解急性心肌梗死心电图ST段不同变化与冠脉造影病变特点的相关性，探讨ST段变化在急性心肌梗死治疗中的应用价值。方法收集广东普宁市人民医院2011年6月～2013年11月收治200例急性心肌梗死患者，进行18导联心电图检查，所有患者均进行冠状动脉造影术，观察心电图ST段的不同变化，分析ST段不同变化组间冠状动脉造影结果的异同。结果200例急性心肌梗死患者中，有132例心电图ST段抬高，51例心电图ST段压低，17例ST段无偏移；冠脉造影结果显示：132例ST段抬高患者中多为单支血管闭塞病变，51例ST段压低患者中多为两支或两支以上血管非闭塞病变，ST段抬高患者侧支循环开放率（12.9%）远低于ST段压低患者（56.9%），差异有统计学意义。结论急性心肌梗死患者心电图ST段的变化可分为ST段抬高和非ST段抬高，ST段不同改变的冠脉造影病变特点不同，ST段不同改变在急性心肌梗死的治疗中，有一定的参考依据。
To understand the relevance of acute myocardial infarction with ST segment changes in different pathological features of coronary angiography, ST segment changes explore applications in the treatment of acute myocardial infarction.Methods The people＆#39;s Hospital of Puning City, Guangdong from June 2011 to November 2013 were treated 200 cases of acute myocardial infarction , an 18-lead ECG , all patients underwent coronary angiography , observe the different variations of ST segment , ST segment analysis of different coronary angiography group similarities and differences between the change results.Results 200 cases of acute myocardial infarction,132 patients with ST segment elevation, 51 cases of patients with ST segment depression , no offset 17 cases of ST segment; coronaryangiography results ： 132 cases of patients with ST -segment elevation mostly single -vessel occlusion, 51 cases of patients with ST -segment depression or two more for two or more non- occlusive vascular disease, ST segment elevation in the rate of development of collateral circulation in patients （12.9%） is much lower than the collateral circulation in patients with ST -segment depression open rates （56.9%） , there are significant differences.Conclusion Changes in the ST segment can be divided into acute myocardial infarction and non- ST -segment elevation ST segment elevation, ST segment angiographic lesions of different characteristics of different changes, different changes in the ST segment in the treatment of acute myocardial infarction, there a frame of reference.
出处
《当代医学》
2014年第19期29-30,共2页
Contemporary Medicine
关键词
急性心肌梗死
ST段改变
冠脉造影
Acute myocardial infarction
ST segment changes
Coronary angiography
