Urazgil'deeva S A, Aminieva Kh K, Varshavskiĭ S Iu
Ter Arkh. 1994;66(9):41-5.
To evaluate the influence of thrombolytic therapy (TT) on the course of acute myocardial infarction (AMI), a comparative analysis of clinical and pathological findings was conducted. The latter included post mortem examination of 35 myocardial samples from patients treated with APSAC in the acute phase of the infarction. The analysis indicated the predominance of cases with unfavourable coronary heart disease, severe myocardial damage and severe AMI complications in the group of the decreased patients. The following beneficial effects of TT were reported: relatively safe stromal and parenchymal myocardial components, earlier regeneration of the connective tissue. Late TT had a negative effect on MI because more hemorrhagic infarctions occurred. The combination of TT and myocardial repair modulators is proposed.
为评估溶栓治疗(TT)对急性心肌梗死(AMI)病程的影响,对临床和病理结果进行了对比分析。后者包括对35例在梗死急性期接受APSAC治疗患者的心肌样本进行尸检。分析表明,在病情恶化的患者组中,冠心病不良、严重心肌损伤和严重AMI并发症的病例占主导。报告了TT的以下有益效果:心肌基质和实质成分相对安全,结缔组织再生较早。晚期TT对心肌梗死有负面影响,因为出现了更多出血性梗死。建议将TT与心肌修复调节剂联合使用。