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在衡量急性心肌梗死的严重程度和估测其预后方面,最近,Chapman和Gray对以前采用过的方法作了反复的观察分析和验算之后,提出三个最有意义的因素——谷草转氨酶值、心源性休克和少尿,并认为根据它们便能迅速而较正确地推算出病人的预后。谷草转氨酶值在发病后约24小时测定,以Sigma-Frankel单位/毫升表示,其提示预后的指数随着谷草转氨酶值增高而加大。休克的标准是镇痛和吸氧30分钟后,仍有持续性低血压(收缩压始终在80毫米汞柱以下)、紫绀和四肢厥冷。少尿指24小时尿量少于500毫升,或精密测定尿生成量低于0.3毫升/
In measuring the severity of acute myocardial infarction (AMI) and assessing its prognosis, Chapman and Gray recently made repeated observations and analyzes of previously used methods and proposed three of the most significant factors - aspartate aminotransferase, Cardiogenic shock and oliguria, and that according to them will be able to quickly and more accurately calculate the patient’s prognosis. Aspartate aminotransferase values are measured at about 24 hours post-onset, expressed as Sigma-Frankel units / ml, suggesting that the index of prognosis is increased as the aspartate aminotransferase value is increased. The standard of shock is that after 30 minutes of analgesia and oxygen inhalation, there is still persistent hypotension (systolic blood pressure always below 80 mmHg), cyanosis and extremities. Urinary refers to less than 500 ml of urine in 24 hours, or less than 0.3 ml /