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目的浅析对应性ST段下移对急性心肌梗死(AMI)患者预后的影响,了解对应性ST段下移与预后的关系。方法回顾性分析134例有Q波AMI伴对应性ST段下移患者的临床资料和心电图改变情况,依据有无对应性ST段下移分为2组,伴有对应性ST段下移组66例(研究组),不伴有对应性ST段下移组68例(对照组),对2组的临床表现及治疗结果进行比较。结果伴对应性ST段下移的AMI组住院早期严重心律失常(28.8%vs7.4%,P<0.05)、泵衰竭的发生率(24.2%vs5.9%,P<0.05)及住院病死率均高于无对应性ST段下移的AMI组(19.7%vs4.4%,P<0.05)。结论伴对应性ST段下移的AMI患者严重并发症多,预后差。
Objective To analyze the influence of corresponding ST segment depression on the prognosis of patients with acute myocardial infarction (AMI), and to understand the relationship between the corresponding ST segment depression and prognosis. Methods A retrospective analysis of 134 cases of Q-wave AMI with ST-segment elevation in patients with clinical data and ECG changes, depending on the presence or absence of ST-segment down into two groups, with corresponding ST-segment down 66 Cases (study group), without corresponding ST segment of the corresponding group of 68 patients (control group), the clinical manifestations and treatment of two groups were compared. Results The incidence of early severe arrhythmia (28.8% vs 7.4%, P <0.05), pump failure (24.2% vs 5.9%, P <0.05) and hospital mortality (19.7% vs4.4%, P <0.05) higher than AMI group without corresponding ST segment depression. Conclusions AMI patients with corresponding ST-segment elevation have serious complications and poor prognosis.