摘要
目的：本文观察34例永久心脏起搏器（VVI）植入患者手术前后血清心肌酶及心钠素（ANP）的变化情况。方法：34例按装永久起搏器患者，在术前及术后24～72小时化验血清心肌酶，术后1周内检测ANP。结果：安置右心室心内膜起搏电极不引起血清心肌酶异常升高，手术前后相比：P〉0．05，提示无心肌坏死。VVI右室心尖部起搏使ANP水平明显升高，P〈0．05。结论：对VVI起搏伴有急性心肌梗死患者而心电图诊断困难时，动态的心肌酶含量改变可帮助诊断。有技术及经济条件的医院应提倡积极开展房室顺序DDD起搏。
Objective：To explore the variation of serum myocardial enzyme and ANP in 34 VVI patients before Operation and after Operation. Methods ：Test 34 VVI patients ＂serum myocardial enzyme concentration before operation and 24 -72 hours again after operation, and test ANP concentration in one week. Results： Setting pacemaker in the right ventricular＇s endocardium can not lead to serum myocardial enzyme concentration abnormal rising. Contrasting before operation and after operation（ P 〉 0.05 ） , this indicates no myocardial necrosis. But after WI in the apex of right ventricular, the concentration of serum ANP obviously rose（ P 〈 0.05 ）. Conclusions： To VVI patients with acute myocardial infarction, the diagnosis is difficult by ECG, and dynamic observation serum myocardial enzyme concentration is very helpful. In the technolgy and economy permitted hospital, set atrioventricular DDD ought to be positively developed.
出处
《中国民康医学》
2006年第15期642-642,645,共2页
Medical Journal of Chinese People’s Health
