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本文的目的是确定冠脉再灌注与无再灌注患者血浆中肌酸激酶同功酶(CK-MB)动力学的差别,从CK-MB时间活性曲线中寻找预示冠脉再灌注与无再灌注的简易指标,并从中估计再灌注所需的时间。方法分三组观察。再灌注组29例,经血管造影证实梗塞区供血冠脉的血流为TIMI-3,无心梗病史,分别静脉给尿激酶、链激酶或 rtPA治疗;无再灌注组 4例,梗塞区供血冠脉的血流为TIMI-0,各2例静脉给尿激酶或rtPA治疗;未溶栓治疗组44例,此
The purpose of this paper is to determine the difference in kinetics of creatine kinase isoenzyme (CK-MB) in plasma between patients with and without coronary perfusion. To find the predictive value of CK-MB activity curve between coronary artery reperfusion and non-reperfusion Of the simple indicators, and from which to estimate the time required for reperfusion. Methods divided into three groups observed. Reperfusion group, 29 cases, confirmed by angiography in coronary artery infarction blood flow TIMI-3, no history of myocardial infarction, respectively, urokinase, streptokinase or rtPA intravenous therapy; no reperfusion group, 4 cases of infarction Coronary artery blood flow was TIMI-0, and 2 cases of intravenous urokinase or rtPA treatment respectively. Thrombolytic therapy group, 44 cases,