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总结急性非Q心肌梗死(NQMI)36例,与116例同期住院的有Q波心肌梗死(QMI)比较,结果发现NQMI临床症状轻,酶峰值(CK—MB)升高幅度小,急性期并发心力衰竭、严重心律失常、心源性休克及急性期死亡率均明显低于QMI组;但梗死后心绞痛的发生率明显升高。治疗原则主要为抗凝、扩张血管、减轻冠脉痉挛等积极的抗缺血治疗。
Summary 36 cases of acute non-Q myocardial infarction (NQMI), compared with 116 cases of Q-wave myocardial infarction (QMI) hospitalized in the same period and found that the clinical symptoms of NQMI light, small increase in peak enzyme (CK-MB) Heart failure, severe arrhythmia, cardiogenic shock and acute phase mortality were significantly lower than QMI group; but the incidence of post-infarction angina increased significantly. The main principles of treatment for anticoagulant, dilation of blood vessels, relieve coronary artery spasm and other positive anti-ischemic treatment.