贵州医科大学学报

2003, (05) 396-398

[打印本页] [关闭]
本期目录(Current Issue) | 过刊浏览(Past Issue) | 高级检索(Advanced Search)

梗塞前心绞痛对急性心肌梗塞预后的影响
The Effects of Previous Angina Pectoris on the Prognosis of Patients with Acute Myocardial Infarct

陈保林,刘兴德
CHNE Bao-lin, LIU Xing-de (Department of Internal Medicine, The Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China)

摘要(Abstract):

目的:探讨初发急性心肌梗死(AMI)患者梗塞前72 h内心绞痛对AMI预后产生的影响。方法:选择166例初发AMI患者进行分析,根据AMI前72 h内有无典型心绞痛发作分为:梗塞前心绞痛组(76例):即AMI前72 h有典型心绞痛发作;对照组(90例):即AMI前72 h无心绞痛发作。结果:与对照组比较,梗塞前心绞痛组肌酸磷酸激酶(CPK)峰值更低,多部位梗塞明显减少,且心衰、心源性休克及近期死亡的发生率明显降低(P<0.05,P<0.01)。结论:AMI前72 h的心绞痛发作可减少梗塞范围、严重并发症及近期死亡率。
Objective: To explore the effect of angina pectoris in 72 hours before the initial of acute myocardial infarct( AMI)on the clinical feathers and near prognosis of AMI. Methods: Data of 166 initial AMI patients in our hospital during 1997.4 -2002,8 were analyzed. Those patients were divided into two groups; MI group(76 patients), in which typical angina pectoris came on in 70 hours before AMI, and control group(90 patients), in which there was no typical angina pectoris before AMI. Re-sults: Compared with control group, patients in MI group had lower peak of creatine kinase, and lower rates of heart failure, multi-focal infarction, cardionenic shock, and near death ( P < 0. 05 or P < 0.01). Conclusion: The angina pectoris in 72 hours before AMI presage that severe complications would reduce and the rate of near deaths after AMI would decrease.

关键词(KeyWords): 心肌梗塞;缺血预处理;心绞痛;预后
myocardial infarction; ischemic preconditioning; angina pectoris; prognosis

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 陈保林,刘兴德
CHNE Bao-lin, LIU Xing-de (Department of Internal Medicine, The Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China)

Email:

DOI: 10.19367/j.cnki.1000-2707.2003.05.008

文章评论(Comment):

序号(No.) 时间(Time) 反馈人(User) 邮箱(Email) 标题(Title) 内容(Content)
反馈人(User) 邮箱地址(Email)
反馈标题(Title)
反馈内容(Content)
扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享