自从Kurien等在1966年报告急性心肌梗塞后血清中游离脂肪酸明显升高,心律失常发生率增加以来,引起许多学者广泛的注意和争论。解决本课题不但对心肌梗塞的发展和梗塞后合并症的发生具有较大的理论意义,而且对防治心肌梗塞及其合并症也有现实意义。国外曾用硒制剂治疗冠心病。国内迄今未见报导。我国克山病(地方性心肌病)地区的土壤、 Since Kurien et al reported a significant increase in serum free fatty acids and an increase in the incidence of arrhythmias after acute myocardial infarction in 1966, many scholars have drawn wide attention and controversy. To solve this issue not only has great theoretical significance for the development of myocardial infarction and post-infarction complication, but also has practical significance for the prevention and treatment of myocardial infarction and its complications. Selenium has been used abroad to treat coronary heart disease. So far no reports of domestic. Keshan disease (endemic cardiomyopathy) in China’s soil,