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目的探讨急性心肌梗死静脉溶栓治疗中再灌注心律失常的主要类型及特点。方法从我院2013年6月至2014年6月收治的急性心肌梗死患者中按照随机数字表法抽取49例作为研究对象,所有患者均采用静脉溶栓治疗,对其治疗方法和治疗效果进行的回顾性分析。结果 39例临床判定再通,再通率79.59%。溶栓治疗中心律失常的发生率85.41%,加速性自主心律仅发生在再通组,大多是一过性。结论加速性自主心律是溶栓后再灌注心律失常的特殊类型,可作为判定再通的可靠指标之一。
Objective To investigate the main types and characteristics of reperfusion arrhythmia in intravenous thrombolytic therapy of acute myocardial infarction. Methods A total of 49 patients with acute myocardial infarction who were admitted to our hospital from June 2013 to June 2014 were randomly selected according to the random number table. All patients were treated with intravenous thrombolytic therapy, and the treatment and treatment effects Retrospective analysis. Results The clinical judgment of 39 cases was recanalized and the recanalization rate was 79.59%. Thrombolytic therapy in the incidence of arrhythmia 85.41%, accelerated spontaneous rhythm only occurred in the recanalization group, mostly transient. Conclusions Acceleration of autonocardial rhythm is a special type of reperfusion arrhythmia after thrombolysis, which can be used as one of the reliable indicators for recanalization.