血小板参数和心电学指标对急性冠脉综合征患者风险评估的价值

《血小板参数和心电学指标对急性冠脉综合征患者风险评估的价值》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、授予单位代码10089学号或申请号20153348中国图书分类号R541.4HebeiMedicalUniversity硕士学位论文专业学位血小板参数和心电学指标对急性冠脉综合征患者风险评估的价值研究生：牛海泉导师：肖文良教授专业：内科学二级学院：第三医院2018年3月目录中文摘要················································································1英文摘要····················································

2、····························2英文缩写················································································3综述血小板参数和心电学指标对急性冠脉综合征患者风险评估方面的价值·············································································5致谢····················································

3、·································24个人简历···············································································25中文摘要血小板参数和心电学指标对急性冠脉综合征患者风险评估的价值摘要急性冠脉综合征（acutecoronarysyndrome,ACS）是一组常见的严重心血管疾病，处理不及时容易导致不良后果。如何早期对ACS患者进行风险评估，从而指导临床采取积极、有效的治疗和预防措施，成为目前临床研究的重点。虽然有些指南推荐应用全

4、球急性冠状动脉事件注册（GRACE）危险评分对ACS患者进行危险分层，但其评分过于繁琐，且多数指标属于回顾性指标，并不适用于早期快速评估。本文就临床简单易获得的血小板相关参数（如血小板分布宽度、平均血小板体积）和静息心电学指标（碎裂QRS波、心率减速力）对ACS患者风险评估价值做一综述。关键词：急性冠脉综合征，血小板分布宽度，平均血小板体积，碎裂QRS波，心率减速力，风险评估，价值1英文摘要TheValueofPlateletParametersandElectrocardiographicParametersinRiskAssessmentofPa

5、tientswithAcuteCoronarySyndromeABSTRACTAcutecoronarysyndrome(acutecoronarysyndrome,ACS)isacommongroupofseverecardiovasculardiseases.Failuretodealwithitcaneasilyleadtoadverseconsequences.HowtoassesstheriskofACSpatientsearlytoguidetheclinicaltotakeactiveandeffectivetreatmentandpr

6、eventionmeasureshasbecomethefocusofcurrentclinicalresearch.AlthoughsomeguidelinesrecommendtheuseoftheGRACEriskscoreforriskstratificationinACSpatients,thescoresarecumbersomeandmostoftheindicatorsareretros-pectiveanddonotapplytoearlyrapidassessments.Thisarticlereviewsthevalueofpl

7、ateletparameters(suchasplateletdistributionwidth,meanplateletvolume)andrestingelectrocardiographicparameters(fragmentedQRSwaves,Decelerationofrate)thatareeasilyaccessibleinclinicalpracticeforACSpatients.Keywords:AcuteCoronarySyndrome,PlateletDistributionWidth,MeanPlateletVolume

8、,FragmentedQRS,DecelerationCapacityofRate,RiskAssessme