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对35例AMI病人进行VLP连续检测,并结合临床进行分析。结果提示,VLP的阳性率为57％,且在急性期具有暂时性及易变性。静脉溶栓成功组与溶栓不成功和常规治疗组VLP阳性率差异非常显著(P<0.001);死亡组与存活组的TQD、U_(40)D差异非常显著(P<0.001和P<0.02);再灌注性心律失常与VLP无相关性。认为对AMI病人应进行多次VLP检测;心肌再灌注是使VLP降低的重要因素;TQD、U_(40)D越高,可能危险性越大。
35 cases of AMI patients with continuous detection of VLP, combined with clinical analysis. The results suggest that the positive rate of VLP 57%, and in the acute phase of temporary and volatile. There was a significant difference in VLP positive rate between unsuccessful intravenous thrombolysis and thrombolytic therapy and routine treatment (P <0.001). There was significant difference in TQD and U 40 D between death group and survival group (P <0.001 and P <0.02) ); No correlation between reperfusion arrhythmia and VLP. It is considered that multiple VLPs should be detected in patients with AMI. Myocardial reperfusion is an important factor in reducing VLP. The higher the TQD and U 40 D, the more likely the risk is.