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近年来,缺血预适应对心肌具有显著的保护作用,已被越来越多的实验所证实。笔者检测71例急性心肌梗塞(AMI)患者的CK、CK-MB、左室舒张功能及心衰等并发症情况,分析了缺血预适应对心肌梗塞后心肌损害的影响。1 对象和方法1.1 对象:AMI患者71例均为1996年5月～1999年5月住院患者,男51例,女20例。年龄30岁～91岁。其中广泛前壁心梗34例,前间壁4例,下壁24例,正后壁9例。按发病前一月内反复3次以上出现典型胸痛,且有心电图变化为依据,将患者分为有预适应组25例和无预适应组46例。住院后均接受
In recent years, ischemic preconditioning has a significant protective effect on myocardium, which has been confirmed by more and more experiments. The author detected 71 patients with acute myocardial infarction (AMI) CK, CK-MB, left ventricular diastolic function and heart failure and other complications, the impact of ischemic preconditioning on myocardial damage after myocardial infarction. 1 Subjects and methods 1.1 Object: AMI patients in 71 cases were from May 1996 to May 1999 inpatients, 51 males and 20 females. Age 30 years old to 91 years old. 34 of them were extensive anterior myocardial infarction, 4 anterior wall, 24 inferior wall and 9 posterior wall. According to the onset of the previous month, repeated more than 3 times typical chest pain, and changes in ECG based on the patients were divided into preconditioning group of 25 patients and no pretreatment group of 46 patients. After admission are accepted