| 韩树森,张立新,李乃达.心肌再梗塞因素的远期临床探讨[J].中国医学影像技术,2001,17(8):737~738 |
| 心肌再梗塞因素的远期临床探讨 |
| Clinical Study of Factors Contributing to RE-AMI |
| 投稿时间：2001-04-15 |
| DOI： |
| 中文关键词: 冠状动脉疾病 再发心肌梗塞 危险因素 |
| 英文关键词:Coronary disease R-AMI Risk factors |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨再发急性心肌梗塞(RAMI)患者的临床再梗塞的因素及临床特点。方法 将再发AMI的38例患者与无再梗塞的73例AMI患者对比,分析其临床特点。结果 再发心梗患者的症状多不典型(P<0.01);多支病变显著高于无再梗塞者(P<0.01),再梗塞者血总胆固醇水平显著高于无梗塞者(P<0.05);血糖水平亦高于后者(P<0.05)。结论 再梗塞患者多具有严重的冠状动脉多支病变,再梗塞时临床 |
| 英文摘要: |
| Objective To evaluate risk factors in R-AMI (acute myocardial infarction) population. Methods Camparison were made for R-AMI 38 patients wigh comparable 73 patients after AMI without R-AMI to observe the clinical trends. Results Comparing the R-AMI group with the AMI group, the AMI group's symptom was more non-representative (P<0.01); abnormal arteria coronaria was more (P<0.01); the pathlogical change of arteria coronaria was more serious (P<0.05); the level of plasma total cholesterol was higher (P<0.05); the blood glucose was higher (P<0.05). Conclusion The current status of major risk factors showed the following characteristics:① The clinical symptom wasn't typical in R-MAI group; ②Several arteria vascular was serious abnormal in R-MAI patient; ③The important sick factors was the higher blood glucose and plasma total cholesterol. So patients with recurrent infarction usually have multivessel and serere coronary artery lesions and atypical signs in most of them. The high leves of blood total cholesterol and blood sugar are main risk factors them. |
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