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[严重和轻度临床病程的心肌梗死发展方式的差异]

[Differences in ways of development of myocardial infarct with severe and mild clinical course].

作者信息

Vinogradov A V

出版信息

Kardiologiia. 1990 Sep;30(9):5-8.

PMID:2273737
Abstract

In 43 dead and 83 survived patients with myocardial infarction, the severity of the disease was compared with hourly changes in indications of a precordial cardiogram made in the first 2 days. The signs were defined, which made it possible to predict a relapse of myocardial infarction 10-15 hours before its onset. The rate of transformation of myocardial lesion foci to necrosis was found to affect the lifespan of patients. The end mass of myocardial infarction was shown to be formed via confluence of individual necrotic foci which appear in the myocardium at various intervals. The early signs were described, which enabled severe cases of myocardial infarction, resulting in death to be differentiated from those leading to a patient's recovery.

摘要

在43例心肌梗死死亡患者和83例存活患者中,将疾病严重程度与发病后头两天记录的胸前心电图指标的每小时变化进行了比较。确定了一些体征,这些体征能够在心肌梗死复发前10 - 15小时对其进行预测。发现心肌病变灶向坏死的转变速度会影响患者的寿命。心肌梗死的最终范围显示是由心肌中以不同时间间隔出现的各个坏死灶融合而成。描述了早期体征,这些体征能够区分导致死亡的严重心肌梗死病例和导致患者康复的病例。

相似文献

1
[Differences in ways of development of myocardial infarct with severe and mild clinical course].[严重和轻度临床病程的心肌梗死发展方式的差异]
Kardiologiia. 1990 Sep;30(9):5-8.
2
[A method of precordial cartography in the evaluation of the severity of the necrotic phase of posterior myocardial infarction].[一种用于评估后壁心肌梗死坏死期严重程度的心前区心电图描记法]
Kardiologiia. 1987 Nov;27(11):41-5.
3
[Clinico-morphological characteristics of recurrent myocardial infarct with lethal outcome].[复发性心肌梗死致死结局的临床形态学特征]
Kardiologiia. 1979 Jan;19(1):68-74.
4
[Precardiac mapping method in assessing the severity of acute myocardial infarct].[心前区标测法评估急性心肌梗死严重程度]
Kardiologiia. 1981 Dec;21(12):38-42.
5
[Possibilities of electrocardiography in the evaluation of necrotization process in posterior myocardial infarction].[心电图在评估后壁心肌梗死坏死过程中的应用可能性]
Kardiologiia. 1988 Nov;28(11):58-61.
6
[Precordial mapping and morphometric indices of the necrotic area in myocardial infarct in chronic bronchitis patients].[慢性支气管炎患者心肌梗死坏死区的心前区映射及形态测量指标]
Ter Arkh. 1985;57(3):141-4.
7
[Use of the precordial dotted map for forecasting the extension of necrosis in acute myocardial infarct].[应用心前区点状图预测急性心肌梗死坏死范围]
Boll Soc Ital Cardiol. 1981;26(10):1077-8.
8
Diagnostic value of biohumoral markers of necrosis and inflammation in patients with right ventricular myocardial infarction.坏死与炎症生物体液标志物对右心室心肌梗死患者的诊断价值。
Prilozi. 2007 Jul;28(1):23-38.
9
[Determination of the size of the myocardial lesion by electrocardiographic and pathologico-anatomic methods].[通过心电图和病理解剖方法测定心肌病变的大小]
Kardiologiia. 1981 Feb;21(2):73-9.
10
[Myocardial infarct without EKG signs of necrosis].无心电图坏死迹象的心肌梗死
Srp Arh Celok Lek. 1978 Jul-Aug;106(7-8):743-53.

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