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[根据胸前心电图(标测)和酶活性结果测定呋喃西林对心肌梗死病变大小的影响]

[Determination of the effect of furanthril on myocardial infarct lesion size according to precordial electrocardiogram (mapping) and enzyme activity findings].

作者信息

Popnikolov S, Tsenov I, Urumov G, Shakhov B, Shubarov K

出版信息

Vutr Boles. 1982;21(2):98-105.

PMID:7101896
Abstract

The ECG Mapping from 30 precordial points in 56 patients with recent anterior transmural infarctions was followed up as well as the level of the enzymes, acid phosphokinase, SGOT and LDH-iso during the first 6 days after the origination of the cardiac infarction. Thirty six patients were treated according to the generally adopted treatment schedule of cardiac infarction (group without furanthril) and 20 patients were administered, in addition to the generally adopted schedule, one tablet furanthril daily during the first six days (group with furanthril. Though no manifested discrepancies were observed in the indices studied in both groups (without and with furanthril)--in patients administered furanthril systematically--a better manifested drop was found in ECG Mapping indices and the enzyme activity in the course of the cardiac infarction, as compared with the group without furanthril. In some of the cases that tendency was with a statistical significance. According to clinical data, extensive lesion of myocardium and cardiac rupture were more frequently found in the group without furanthril whereas grave rhythm disorders were more frequent in the group with furanthril. The systematic administration of furanthril, in the first several days after the origination of the cardiac infarction, revealed some favorable tendencies in its course (possible restriction of lesion zone according to ECG Mapping data, restriction of necrosis according to enzyme activity data), but, at the same time, the unfavourable arrhythmia became more frequent, necessitating the control of rhythm and electrolytes as well as timely antirhythm treatment.

摘要

对56例近期发生前壁透壁性心肌梗死患者的30个胸前导联点进行心电图标测,并在心肌梗死发生后的前6天监测酶(酸性磷酸激酶、谷草转氨酶和乳酸脱氢酶同工酶)水平。36例患者按照心肌梗死普遍采用的治疗方案进行治疗(无呋喃西林组),20例患者除采用普遍治疗方案外,在最初6天每天加服1片呋喃西林(有呋喃西林组)。虽然在两组(无呋喃西林组和有呋喃西林组)研究的指标中未观察到明显差异——在系统服用呋喃西林的患者中——与无呋喃西林组相比,在心肌梗死过程中,心电图标测指标和酶活性的下降表现得更好。在某些情况下,这种趋势具有统计学意义。根据临床资料,无呋喃西林组心肌广泛损伤和心脏破裂更为常见,而有呋喃西林组严重心律失常更为常见。在心肌梗死发生后的最初几天系统服用呋喃西林,在其病程中显示出一些有利趋势(根据心电图标测数据可能限制病变区域,根据酶活性数据限制坏死),但同时,不良心律失常变得更加频繁,需要控制心律和电解质以及及时进行抗心律失常治疗。

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