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本文报道随机对照观察64例急性心肌梗塞后3小时内静注链酶治疗对心功能恢复时程的效益,于急性心肌梗塞后1～4天行心室血管造影,并在经治疗5周后再实施心室血管造影检查。在梗塞中心、梗塞周围、和非梗塞区,以中心线方法分析心室壁运动。结果:有早期心导管检查与心室造影资料的患者,经链激酶治疗患者梗塞中心区,比对照患者较少有严重的运动不良[-2.9±0.9(n=29)对-3.4±0.7标准差在正常以下(n=21),P<0.05],链激酶对梗塞周围区的效益更为明显。因此,经治疗患者与
This article reports the randomized controlled observation of 64 cases of acute myocardial infarction 3 hours after intravenous enzyme chain therapy on the recovery of cardiac function of the time course of acute myocardial infarction in 1 to 4 days after ventricular angiography and after 5 weeks of treatment Perform ventricular angiography. Ventricular wall motion was analyzed by centerline in the infarct center, around the infarct, and in the non-infarct area. RESULTS: In patients with early cardiac catheterization and ventricular angiography data, patients treated with streptokinase had less severe motor dysfunction than those in the control subjects [-2.9 ± 0.9 (n = 29 vs. -3.4 ± 0.7 standard deviation Below normal (n = 21), P <0.05], streptokinase was more effective in the area around the infarct. Therefore, the treated patients and