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本文对15例AMI患者行溶血栓治疗,13例出现再灌注性心律失常,发生率为86.7％,均发生在溶栓疗法后10～30(平均21.8)分钟。多为室性早搏及室性心动过速。临床资料还表明,左室射血分数越低,再灌注性心律失常发生的机会越多;再灌注性心律失常的发生与溶栓效果有关。溶栓效果显著者均发生再灌注性心律失常,提示其发生可作为冠脉再通的指标之一。
Thirteen cases of reperfusion arrhythmia were treated with thrombolytic therapy in 15 patients with AMI. The incidence of reperfusion arrhythmia was 86.7%, all of which occurred in 10-30 (21.8) minutes after thrombolytic therapy. Mostly premature ventricular contractions and ventricular tachycardia. Clinical data also show that the lower the left ventricular ejection fraction, the more chance of reperfusion arrhythmia; reperfusion arrhythmia and thrombolytic effect. Reperfusion arrhythmias occur in patients with significant thrombolytic effect, suggesting that its occurrence may be used as one of the indicators of recanalization.