登录

双语推荐：急性心肌梗死

进入期刊文章
目的探讨急性心肌梗死患者并发心律失常的临床特点。方法回顾性分析我院50例急性心肌梗死并发心律失常住院患者的临床资料。结果急性心肌梗死患者并发心律失常总发生率几乎100％。结论急性心肌梗死患者并发心律失常发生率高，猝死率高，应根据不同情况尽早采取积极有效的防治措施，降低急性心肌梗死并发心律失常患者死亡率。
objective: to study the acute myocardial infarction patients and the clinical characteristics of arrhythmia. Methods: retrospective analysis fifty cases of acute myocardial infarction complicated arrhythmia of hospitalized patients with clinical data. Results: patients with acute myocardial infarction complicated arrhythmia total incidence almost 100%. Conclusions: in patients with acute myocardial infarction complicated arrhythmia incidence rate is high, the death rate is high, should according to different situation as soon as possible to take positive and effective prevention and control measures, reduce acute myocardial infarction complicated arrhythmia patients mortality.

[ 可能符合您检索需要的词汇 ]

进入期刊文章
目的分析心肌肌钙蛋白T(cTnT)、肌酸激酶同工酶(CK-MB)、心肌肌钙蛋白I(cTnI)指标变化与急性心肌梗死范围相关性。方法研究对象来自本院心内科2011年2月~2013年5月收治的100例急性心肌梗死患者,测定急性心肌梗死患者cTnT、CK-MB和cTnI水平。采用Pearson分析cTnT、CK-MB和cTnI水平与急性心肌梗死梗死范围的相关性。结果治疗7 d后,患者cTnT、CK-MB和cTnI均显著下降,差异有统计学意义P0.05。急性心肌梗死患者cTnT、CK-MB和cTnI与梗死范围呈正相关,相关系数r分别为0.992、0.932和0.987,差异有统计学意义P0.05,且急性心肌梗死患者不同梗死范围患者cTnT、CK-MB和cTnI指标存在明显界限。结论 cTnT、CK-MB和cTnI水平在急性心肌梗死患者中明显升高,指标升高程度与急性心肌梗死范围有着密切关系。
Objetive To analyze the relation between the range of of acute myocardial infarction and the change of cTnT, CKMB and cTnI. Methods Choosing 100 patients who have died from acute myocardial infarction from February of 2012 to May of 2013 in our hospital. To measure these patients’level of cTnT, CKMB and cTnI, which has analyzed the relation between the range of acute myocardial infarction and the change of cTnT, CKMB and cTnI based on the theory of Pearson. Results After seven days of treatment, the value of cTnT, CKMB and cTnI drops dramatically, which was P>0.05. The correlation between the range of acute myocardial infarction and the patients of cTnT, CKMB and cTnI was positive correlation, the correlation coefficients were 0.992,0.932 and 0.987 respectively. The difference was obvious, P<0.05. Meanwhile, there was an apparent cTnT, CKMB and cTnI value boundary among different acute myocardial infarction patients. Conclusion There is a sharp rise of cTnT, CKMB and cTnI in the acute

[ 可能符合您检索需要的词汇 ]

进入期刊文章
目的：总结消化道症状为首发表现的急性心肌梗死的诊治体会。方法对20例以消化道为主要表现的急性心肌梗死患者的临床资料进行分析。结果 ST段抬高型急性心肌梗死17例，非ST段抬高型急性心肌梗死3例。结论对于以消化道症状为首发，经对症处理不能缓解的，应想到急性心肌梗死，详细询问病史，开阔诊断思路，监测生命体征、心电图动态演变过程、心肌酶谱的变化，有助于心肌梗死的诊治。
Objective Conclusion the digestive tract symptoms are starting performance of the experience of diagnosis and treatment of acute myocardial infarction. Methods 20 cases of digestive tract as the main performance of the clinical data of patients with acute myocardial infarction were analyzed. Results 17 cases of st-elevation acute myocardial infarction, non st-elevation acute myocardial infarction in 3 patients. Conclusion For gastrointestinal symptoms as the first, symptomatic treatment is necessary, relate to acute myocardial infarction. Monitoring vital signs, Electrocar diagram dynamic evolution process, the changes of myocardial enzyme spectrum, help to the diagnosis and treatment of myocardial infarction.

[ 可能符合您检索需要的词汇 ]

进入期刊文章
探讨D-二聚体在急性心肌梗死患者中的应用价值,指导D-二聚体在急性心肌梗死疾病中的诊断和鉴别诊断。方法:回顾性分析2010年~2013年6月203例冠心病,急性心肌梗死患者D-二聚体的结果。结果:97.0%的急性心肌梗死患者D-二聚体值0.5 ng/ml,仅有3.0%的急性心肌梗死患者D-二聚体值≥0.5 ng/ml。结论:D-二聚体值在97%的急性心肌梗死患者中0.5 ng/ml水平,有利于在胸痛患者诊断中急性心肌梗死与D-二聚体值较高的疾病如肺栓塞及主动脉夹层的鉴别。
Objective To explore tje application of value of tje D-dimer in patients witj acute myocardial infarction,to guide tje D- dimer in tje diagnosis and differential diagnosis of acute myocardial infarction disease. Method Tje results in 203 patients witj acute myocardial infarction D-dimer were analyzed retrospectively from January 2010 to June 2013. Results 97. 0% of patients witj acute myo-cardial infarction D-dimer values <0. 5 ng/ml,wjile only 3. 0% of patients witj acute myocardial infarction values of D-dimer acuity≥0. 5 ng/ml. Conclusion D-dimer value in 97% of patients witj acute myocardial infarction< 0. 5 ng/ml level,it is advantageous to tje diagnosis of acute myocardial infarction patients witj cjest pain and D-dimer value jigjer diseases sucj as pulmonary embolism,and tje identification of aortic dissection.

[ 可能符合您检索需要的词汇 ]

进入期刊文章
目的：探讨酷似急性心肌梗死的急性重症心肌炎的临床特点和心电图图形改变。方法回顾性分析了1例酷似急性心肌梗死样图形改变的急性重症心肌炎患者的临床资料及心电图。结果本例患者及时给予减轻心脏负荷、抗病毒、对症支持治疗，病情缓解后出院。结论酷似急性心肌梗死的急性重症心肌炎可通过心电图表现、心肌酶检查结果与急性心肌梗死进行鉴别。早诊断、早治疗有助于提高疗效。
Objective To investigate the clinical characteristics and electrocardiogram changes on acute severe myocarditis mimicking acute myocardial infarction. Methods A case on acute severe myocarditis mimicking acute myocardial infarction was retrospectively analyzed its clinical characteristics and electrocardiogram changes. Results By timely reducing cardiac load, antivirus treatment and support treatment ,the patient discharged from hospital after her condition ease. Conclusion Acute severe myocarditis mimicking acute myocardial infarction can be identified by electrocardiogram changes and myocardial enzyme spectrum. Early diagnosis and early treatment can help to improve curative ef ect.

[ 可能符合您检索需要的词汇 ]

进入期刊文章
心肌梗死是临床中的一种常见病,对患者的健康产生严重的影响。以前以心电图ST段抬高、异常Q波及T波的典型改变,作为诊断急性心肌梗死主要依据,忽视了非ST段抬高急性心肌梗死的诊断,造成这部分非ST段抬高急性心肌梗死误诊、漏诊。随着对非ST段抬高急性心肌梗死的认识,误诊、漏诊明显减少。使这部分患者得到及时诊断及规范治疗,减少了心脏性猝死。本文简要介绍非ST段抬高急性心肌梗死的临床表现、诊断及治疗等。
Myocardial infarction is one of the clinical common disease,having serious impact on the health of patients.In ECG ST segment elevation, abnormal Q spread before typical changes of T wave, as the main basis for diagnosis of acute myocardial infarction, ignored the diagnosis of the non ST-elevation acute myocardial infarction.This part of the non ST-elevation acute myocardial infarction, misdiagnosis and missed diagnosis.As the understanding of non ST-elevation acute myocardial infarction, dramatically reduce misdiagnosis and missed diagnosis.It makes this part of the patients receive timely diagnosis and standard treatment, and reduces the sudden cardiac death.In this text, the clinical manifestation, diagnosis and treatment of non ST-elevation acute myocardial infarction are briefly introduced.

[ 可能符合您检索需要的词汇 ]

进入期刊文章
目的探讨心脏型脂肪酸结合蛋白在早期急性心肌梗死中的诊断价值。方法收集因"胸痛、胸闷3h以内"就诊,拟诊为急性心肌梗死患者186例,检测所有入选者的血浆肌酸磷酸激酶同工酶(CK-MB)、肌钙蛋白-I(CTn-I)和心脏型脂肪酸结合蛋白(H-FABP)。比较3种指标对早期急性心肌梗死诊断的敏感性和特异性。结果与非心肌梗死组和对照组相比,急性心肌梗死组患者血浆CK-MB、CTn-I及H-FABP明显升高(P0.05);与CK-MB和CTn-I相比,H-FABP对3h以内的急性心肌梗死诊断的敏感性较高,而特异性则低于CTn-I,但高于CK-MB。结论对于发病3h内的急性心肌梗死患者,检测H-FABP可以在一定程度上提高对早期急性心肌梗死的诊断率。
Objective To investigate the value of heart-type fatty acid-binding protein in the diagnosis of early myocardial infarc-tion.Methods In 186 cases of suspected acute myocardial infarction due to "chest pain,chest tightness" for 3 h,plasma CK-MB, troponin-I(CTn-I)and heart-type fatty acid-binding protein(H-FABP)were detected.The sensitivity and specificity in diagnosing early myocardial infarction were compared among 3 kinds of indexes.Results Compared with the non-infarction group and the con-trol group,plasma CK-MB,CTn-I and H-FABP in the acute myocardial infarction group were significantly increased (P <0.05 );compared with CK-MB and CTn-I,the sensitivity of H-FABP to the diagnosis of acute myocardial infarction within 3 h was higher, but its specificity was lower than that of CTn-I and higher than that of CK-MB.Conclusion For the patients with acute myocardial infarction within 3 h after onset,detecting H-FABP can increase the diagnostic rate of early myocardial infarction to a certa

[ 可能符合您检索需要的词汇 ]

进入期刊文章
目的：探讨原发性血小板增多症合并急性心肌梗死的临床特证及治疗特点。方法回顾性分析8例原发性血小板增多症合并急性心肌梗死患者的临床资料，分析临床特点及血小板计数与再发急性心肌梗死的相关性。结果原发性血小板增多症合并急性心肌梗死患者的血管病变以右侧冠状动脉多见，强化抗血小板的同时降血小板治疗。血小板计数与再发心肌梗死相关，强化抗血小板治疗后再发急性心肌梗死发生率降低。结论原发性血小板增多症合并急性心肌梗死患者血小板计数越高再发急性心肌梗死越多，降血小板治疗至关重要。
Objective to investigate the clinical characteristics and treatment of primary thrombocytosis in patients with acute myocardial infarction. Methods a retrospective analysis of 8 patients with essential thrombocythemia with clinical data of patients with acute myocardial infarction, clinical characteristics and platelet count and recurrent acute myocardial infarction. Result Primary thrombocytosis in patients with acute myocardial infarction and vascular lesions in the right coronary artery rare, strengthening anti-platelet and reduced platelet treatment. Platelet count correlated with reinfarction, intensive antiplatelet therapy after acute myocardial infarction and reduce the incidence of.Conclusions essential thrombocythemia and platelet counts in patients with acute myocardial infarction is higher recurrent acute myocardial infarction more, reducing platelet therapy is critical.

[ 可能符合您检索需要的词汇 ]

进入期刊文章
目的：探究和分析急性心肌梗死患者心电图的改变与心率失常发生的相关率。方法：选择我院2012年6月一2013年10月收治的急性心肌梗死患者，共收集到20例病例，分别回顾观察统计急性心肌梗死患者的心电图改变情况和心率失常发生类型及发生，探究分析心电图改变金额心率失常发生率两组数据之间存在相关性的形式。结果：20例急性心肌梗死患者中，典型心电图表现者11例，占55％；不典型心电图表现者8例，占40％；急性心肌梗死ST段抬高15例，占75％；非ST段抬高性心肌梗死5例，占25％。与患者心率失常发生率结合比较发现，ST段抬高性急性心肌梗死患者的心律失常发生率明显高于非ST段抬高性急性心肌梗死患者的心率失常发生率，且两者存在显著差异（P＜0．05），具有统计学意义。结论：ST段抬高性急性心急性肌梗死患者的心律失常发生率明显高于非ST段抬高性心急性肌梗死患者的心率失常发生率，医护人员在对急性心肌梗死患者进行诊断治疗护理过程中，应着重观察预防和治疗ST段抬高性心急性肌梗死患者是否出现心率失常的症状，科学有效地急性心肌梗死患者进行系统的抗心律失常的治疗。
Objective:the rate of change research and analysis of patients with acute myocardial infarction and arrhythmia.Method:the acute myocardial infarction patients in our hospi-tal in 2012 June 2013 October,20 cases were col ected,respectively,review of electrocardiogram in patients with acute myocardial infarction were observed statistical change and arrhythmia oc-currence types and occurrence,explore the analysis of electrocardiogram changes the amount of arrhythmia incidence between the two groups of data correlation exists in the form of.Results:20 cases of acute myocardial infarction patients,typical ECG in 1 1 cases,accounting for 55%;atypical ECG in 8 cases,accounting for 40%;ST segment elevation acute myocardial infarction in 15 cases,accounting for 75%;5 patients with non ST segment elevation myocardial infarction,accounted for 25%.Rate compared with patients with arrhythmia occurred,in patients with ST el-evation acute myocardial infarction arrhythmia incidence was significantly h

[ 可能符合您检索需要的词汇 ]

进入期刊文章
背景：急性心肌梗死起病急，病情凶险，但目前对超急性期的辅助诊断主要靠心电图，实验主要利用组织多普勒应变成像的优点，对急性心肌梗死的早期诊断提供帮助。 目的：应用组织多普勒应变成像技术观测犬急性心肌梗死前、后心内膜下层心肌、中层心肌、心外膜下层心肌径向峰值应变及应变达峰时间，分析其力学变化特征。 方法：16只Beagle犬，开胸结扎左冠状动脉前降支的第一对角支建立急性心肌缺血模型。同步记录心电图，在组织速度成像模式下，分别在急性心肌梗死前、后采集标准心尖短轴切面的连续5个完整心动周期内的二维动态组织多普勒速度图像，存于TDI-Q工作站。分别观测梗死区缺血前、后局部及心内膜下层心肌、中层心肌、心外膜下层心肌径向峰值应变及应变达峰时间。 结果与结论：急性心肌梗死后，梗死区局部以及心内膜下层心肌、中层心肌、心外膜下层心肌的峰值应变较梗死前明显降低(P 0.05；r=0.218， P >0.05)。提示急性心肌梗死后，梗死区不同层次心肌间峰值应变梯度消失，局部及不同层次心肌峰值应变明显减低，而达峰时间明显延长，是梗死区心肌结构异常、功能障碍的反映，从而导致心脏整体运动不协调，引起心脏整体的非同步化运动，是触发心力衰竭的重要力学机制之一。
BACKGROUND:Acute myocardial infarction with acute onset is dangerous, but the aided diagnosis for hyperacute disease mainly depends on electrocardiogram. The advantages of tissue Doppler strain imaging were utilized to help early diagnosis of acute myocardial infarction. OBJECTIVE:To observe left ventricular transmural peak radial strain and strain time-to-peak of subendocardiac muscle, midmyocardium and subepicardiac muscle using tissue Doppler strain imaging in dogs before and after acute myocardial infarction, and to assess its mechanical characteristics. METHODS:A total of 16 Beagle dog models of acute myocardial ischemia were established by ligating left anterior descending coronary artery. The two-dimensional apical short-axis views of the left ventricle in five complete cardiac cycles were acquired and stored in TDI-Q workstation before and after acute myocardial ischemia. Transmural peak radial strain and strain time-to-peak of segment, subendocardiac muscle,midmyocardium and s

[ 可能符合您检索需要的词汇 ]