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为探讨Aldrich公式预测急性心肌梗死范围的应用价值,对190例前壁、133例下壁心肌梗死患者根据ST段抬高用Aldrich上公式预测梗死范围,并与7～10天、20±9天的心电图QRS记分法心肌梗死范围作对照.结果显示:未溶栓组预测值与QHS记分值相关性良好.前壁预测值除与7～10天记分值外差异均有显著意义(P<0.05),下壁预测值则与急性期最大记分值差异无显著意义(P>0.05).而相应的溶栓组与QRS记分值相关性较差或完全无关.认为Aldrich公式计算对未溶栓组前壁梗死范围计算较可靠,而相应的下壁预测值偏大;溶栓再通后下再适用.
Aldrich formula to predict the range of acute myocardial infarction in the application value of the anterior wall of 190 cases of inferior myocardial infarction in patients with ST-segment elevation based on Aldrich formula using the prediction of infarction range and 7 to 10 days, 20 ± 9 days ECG QRS score myocardial infarction range as a control.The results showed that the predicted value of the group without thrombolysis and QHS score was good.The anterior wall predicted value except for 7 to 10 days score score were significantly different (P <0.05), while there was no significant difference between the predictive value of inferior wall and the maximum score of acute phase (P> 0.05), while the corresponding thrombolysis group had little or no correlation with QRS score.It was considered that Aldrich’s formula The anterior wall infarct size in the non-thrombolytic group was more reliable, while the corresponding lower wall predicted value was larger.