【摘要】 目的 评价链激酶溶栓治疗老年急性心肌梗死(AMI)对左心室功能的影响。方法 应用二维超声心动图对29例AMI接受链激酶溶栓治疗和21例未溶栓的AMI患者，分别在急性期及6个月后随访时测量并计算左心室容积(EDV和ESV)、射血分数(EF)等参数。结果 急性期各组心功能差异无显著性。随访期再通组EF值明显增加，且明显高于未通组和未溶栓组。结论 链激酶溶栓能明显减轻老年AMI患者的左心室扩张，改善左心室功能和长期预后。

    关键词 溶栓疗法 急性心肌梗死 左室功能

    Effects of thrombolytic reperfusion on left ventricular function in elderly acute myocardial infarction

    Liu Haitao，Xu Yong，Gan Xiaoya

    Feicheng Coal Central Hospital，Shandong271608.

    【Abstract】 Objective The aim of this study was to assess the effects of reperfusion by streptokinase thromˉbolytic therapy on left ventricular function.Methods 29elderly patients with first acute myocardial in farction(AMI)receiving thrombolytic therapy were divided into reperfusion group ......