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对47 例急性心肌梗塞(AMI)患者,使用发病初心电图ST 段偏移预测最初梗塞(MI)面积与QRS积分法预测最后MI面积进行对比观察,24 例前壁AMI患者,平均MI面积分别为21.06±6.23% 与19.98±5.87% ,γ= 0.80(P< 0.01);23 例下壁AMI患者,平均MI面积分别为 20.54±6.38% 与18.15±6.89% ,γ= 0.76(P< 0.05);两种方法预测MI面积无显著性差异(P> 0.05),表明两者有良好的相关性与一致性,对判定溶栓疗效有实际应用意义。两种方法预测MI面积均显示AMI部位对应导联有ST段下移者比无ST 段下移者MI面积大(P< 0.05)。说明有对应导联ST段下移者比无下移者一般病情较重。
In 47 patients with acute myocardial infarction (AMI), the initial infarction (MI) area was predicted by using the ST segment offset of early onset of disease and the final MI area was predicted by QRS integration. The average MI area in 24 AMI patients was 21.06 ± 6.23% and 19.98 ± 5.87% respectively, γ = 0.80 (P <0.01). The average MI area of 23 patients with inferior wall AMI were 20.54 ± 6.38 % And 18.15 ± 6.89% respectively, and γ = 0.76 (P <0.05). There was no significant difference between the two methods in predicting the area of MI (P> 0.05), indicating a good correlation between the two And consistency, the determination of thrombolytic efficacy of practical significance. The MI area of the two methods showed that there was a large area of MI (P <0.05) in ST segment of lead corresponding to AMI compared with non-ST segment down. Description of the corresponding leads ST segment down than those without down the general condition of the heavier.