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本文通过对5)例急性心肌梗塞(AMI)和30例陈旧性心肌梗塞(OMI)患者,及40例正常人的血液流变学指标进行观察,发现:AMI 可导致的血液流变性异常改变,七项流变学指标均显著高于正常组(P<0.05～0.001);除HCT 和高切全血粘度外,余指标显著高于OMI 组(P<0.05～0.001)。随病程进展,各项指标值逐渐降低。AMI 并发心衰、休克者全血粘度、血浆Fb 和红细胞Tk 值显著高于无并发症组(P<0.05～0.001),并发心衰与休克者组间无差异(P>0.05)。提示血液流变学指标可作为AMI 判断病情、估计预后的重要参数。
In this paper, 5) cases of acute myocardial infarction (AMI) and 30 cases of old myocardial infarction (OMI) patients and 40 normal subjects were observed hemorheology and found that: AMI can cause abnormal changes in blood rheology, Seven indexes of rheology were significantly higher than those of normal group (P <0.05 ~ 0.001). Except HCT and high cut whole blood viscosity, the remaining indexes were significantly higher than those of OMI group (P <0.05 ~ 0.001). With the progress of the disease, the index values gradually decreased. AMI complicated with heart failure, whole blood viscosity of shock, Tb value of plasma Fb and erythrocytes were significantly higher than those without complications (P <0.05-0.001). There was no difference between patients with heart failure and shock group (P> 0.05). Prompt blood rheology indicators can be used as the AMI to determine the condition, an important prognostic parameter estimation.