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目的:探讨心电图异常特征在急性心肌梗死患者危险判断中的应用价值。方法:选取我院近三年来收治的57例急性心肌梗死(AMI)患者作为研究对象,所有患者入院后均接受PCI手术治疗,回顾性分析57例患者心电图资料,分析心电图异常指标与心源性休克及心力衰竭的相关性,同时比较患者行PCI术前后TIMI血流分级。结果:57例患者心电图检测数据显示,多导联病理性Q波、ST段抬高、心房颤动、严重室性心律失常等异常心电图与心源性休克及心力衰竭有显著相关性,出现上述异常心电图患者的心源性休克、心力衰竭发生率明显更高(P<0.05)。患者术后12h的TIMI血流分级水平明显优于术前,前后差异有统计学意义(P<0.05)。结论:急性心梗患者的心电图异常特征可作为病情危险程度及预后的判断指标,在急性心梗患者的诊疗中具有较高的应用价值。
Objective: To investigate the value of ECG abnormalities in judging the risk of patients with acute myocardial infarction. Methods: Fifty-seven patients with acute myocardial infarction (AMI) treated in our hospital for the past three years were enrolled in this study. All patients were admitted to our hospital with PCI. The electrocardiogram data of 57 patients were retrospectively analyzed. The abnormal ECG and cardiogenic Shock and heart failure, and compare the TIMI flow classification before and after PCI. Results: The electrocardiographic data of 57 patients showed that the abnormal electrocardiogram of multi-lead pathological Q wave, ST segment elevation, atrial fibrillation and severe ventricular arrhythmia were significantly associated with cardiogenic shock and heart failure. The above abnormalities Cardiac ECG in patients with cardiogenic shock, heart failure was significantly higher (P <0.05). The level of TIMI blood flow at 12h after operation was significantly better than that before operation (P <0.05). Conclusion: ECG abnormalities in patients with acute myocardial infarction can be used as a judgment indicator of the severity and prognosis of patients with acute myocardial infarction. It has high value in diagnosis and treatment of patients with acute myocardial infarction.