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[急性心肌梗死时心肌代谢及中心血流动力学参数]

[Parameters of myocardial metabolism and central hemodynamics in acute myocardial infarct].

作者信息

Vakhliaev V D, Syrkin A L, Pomerantsev E V, Alliluev I G, Sulimov V A

出版信息

Kardiologiia. 1981 Dec;21(12):33-8.

PMID:7329017
Abstract

The study in 15 patients with myocardial infarction of the content in the arterial blood and the blood of the coronary sinus of lactate, glucose, nonesterified fatty acids has shown the increase of utilization of these substances in 5 cases, appearance of lactate production and enhancement of glucose and insulin extraction in 4, decrease of extraction of glucose, lactate, insulin in 4 patients. In the complicated cases of myocardial infarction it was established that the extraction of glucose, insulin decrease and in a number of cased production of lactate by the myocardium supervenes. It is concluded that interrelationship exists between the type of metabolic disorders and the frequency of complications in myocardial infarction.

摘要

对15例心肌梗死患者动脉血和冠状窦血中的乳酸、葡萄糖、非酯化脂肪酸含量进行的研究表明,5例患者这些物质的利用率增加,4例出现乳酸生成以及葡萄糖和胰岛素摄取增加,4例患者葡萄糖、乳酸、胰岛素的摄取减少。在心肌梗死的复杂病例中发现,葡萄糖、胰岛素的摄取减少,并且在一些病例中心肌出现乳酸生成。得出的结论是,心肌梗死代谢紊乱的类型与并发症的发生率之间存在相互关系。

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