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心肌梗塞大小不仅影响急性左室功能,而且对预后及死亡率均有决定意义。梗塞大小的定量分析是评价治疗效果的重要方法。血清肌酸激酶(CK)测定再通过公式计算以作心肌梗塞的定量分析,已被广泛采用。本文报道对急性心肌梗塞大小,应用CK测定与放射性核素心血管造影、铊闪烁扫描等检测方法进行对比,以了解其相关性。方法:首次发作的急性心肌梗塞26例,无严重血流动力学的改变,均住院观察。前壁心肌梗塞11例(包括前间壁、前壁、前侧壁),下壁心肌梗塞15
The size of myocardial infarction affects not only acute left ventricular function but also the prognostic and mortality determinants. Quantitative analysis of infarct size is an important way to evaluate the effect of treatment. Serum creatine kinase (CK) measurement and then calculated by the formula for quantitative analysis of myocardial infarction, has been widely used. This article reports the size of acute myocardial infarction, the application of CK determination and radionuclide cardiogram, thallium scintigraphy and other detection methods were compared to understand its relevance. Methods: The first episode of acute myocardial infarction in 26 cases, no serious hemodynamic changes were hospitalized. Anterior myocardial infarction in 11 cases (including anterior wall, anterior wall, anterior wall), inferior wall myocardial infarction 15