急性心肌梗死溶栓治疗后早期t波倒置的临床意义

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1、·万方数据····目录一、英文缩略词表············································································1二、中文摘要··················································································2三、英文摘要············································································

2、······4四、论文正文1、前言······················································································62、材料与方法·············································································93、结果··········································································

3、···········134、讨论·····················································································175、结论·····················································································216、参考文献··································································

4、·············22五、致谢······················································································25六、综述······················································································26····万方数据····福建医科大学2009级硕士研究生毕业论文英文缩略词表英文缩略词英文全称中文译名AMIAcutemyocardia

5、linfarction急性心肌梗死STEMIST-segmentelevationacutemyocardialinfarction急性ST段抬高型心肌梗死NSTEMInonST-segmentelevationacutemyocardialinfarction急性非ST段抬高型心肌梗死LVEFleftventricularejectionfraction左室射血分数LVEDdleftventricularenddiastolicdiameter左室舒张末内径CK-MBcreatinephosphokinase-isoenzym

6、e-MB磷酸肌酸激酶同工酶TCTotalcholesterol总胆固醇TGtriglyceride甘油三酯HDL-chigh-densitylipoproteincholesterol高密度脂蛋白胆固醇LDL-clow-densitylipoproteincholesterol低密度脂蛋白胆固醇IRAinfarctionrelatedartery梗死相关血管BMIbodymassindex体重指数····1万方数据····福建医科大学2009级硕士研究生毕业论文急性心肌梗死溶栓治疗后早期T波倒置的临床意义硕士研究生：吴远生导师：

7、林荣教授摘要背景：急性心肌梗死后的早期血运重建是目前挽救心肌最为有效的治疗方法。故探索评价静脉溶栓后再灌注指标与急性心肌梗死的预后关系对临床有指导意义。国内外学者对急性心肌梗死再灌注指标方面在基础和临床方面做了大量研究，心电图演变是反映梗死相关血管灌注情况的指标之一。在临床上对急性心肌梗死患者溶栓治疗后再灌注评价手段较多，但很少关注到T波的变化。本研究是为进一步明确早期T波倒置对再灌注的评价及相关预后指标的预测。目的：观察急性ST段抬高型心肌梗死（STEMI）静脉溶栓治疗后心电图ST-T动态变化；探讨早期（24小时内）T波倒置与

8、梗死相关血管再通关系及预后情况。材料与方法：1.连续入选2010年4月至2011年12月在福建医科大学附属泉州市第一医院心血管内科住院并诊断为急性ST段抬高型心肌梗死患者84例，诊断采用2007年美国心脏病学会(ACC)/美国心脏协会制定的标准。2.根据84例患