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严重心尖部室壁活动异常的前壁穿壁心肌梗塞患者中,左室血栓的发生率较高.本文通过对90例首次急性心肌梗塞患者的前瞻性研究,探讨:(1)足量肝素能否阻止心室内血栓形成;(2)心室内血栓形成的易患因素.方法:研究对象均为首次急性穿壁心肌梗塞、起病12小时以内入监护病房和无抗凝禁忌的患者,并除外入院前已开始抗凝者.患者入院时被随机分为肝素治疗组和对照组.肝素组在开始4～7天由电动输液泵静脉注射肝素(平均23,800±4,200IU/d),
The incidence of left ventricular thrombi in patients with anterior myocardial infarction with severe apical wall abnormalities is relatively high.This study investigated the prospective study of 90 patients with first acute myocardial infarction: (1) whether adequate heparin Prevent ventricular thrombosis; (2) Ventricular thrombosis risk factors.Methods: The subjects were the first acute transmural myocardial infarction, onset within 12 hours into the intensive care unit and patients with no anticoagulation contraindications, and admitted to hospital Patients were randomized to heparin-treated and control groups on admission, heparin (n = 23,800 ± 4,200 IU / d) was intravenously administered to patients in the heparin group 4 to 7 days after the initiation of anticoagulation,