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目的探讨急性心肌梗死静脉溶栓治疗中ST段再抬高产生的原因和意义。方法通过回顾性分析42例首发急性心肌梗死患者,按静脉溶栓治疗中有无ST段再抬高分为观察组和对照组两组,比较两组间伴发疾病、再通率、并发症发生的情况、梗死后心绞痛,进行分析。结果静脉溶栓治疗时ST段再抬高与患者合并糖尿病、高血压、高血脂症及再灌注损伤有关;根本原因是冠脉存在多只病变及梗死血管狭窄程度重所致。
Objective To investigate the causes and significance of ST segment elevation in patients with acute myocardial infarction treated by intravenous thrombolysis. Methods A retrospective analysis of 42 patients with acute myocardial infarction, intravenous thrombolytic therapy without ST-segment elevation and then divided into observation group and control group were compared between the two groups companion disease, recanalization rate, complications What happened, angina after infarction, for analysis. Results The re-elevation of ST segment during thrombolytic therapy was associated with diabetes mellitus, hypertension, hyperlipidemia and reperfusion injury. The underlying cause was multiple coronary lesions and severe infarction.