实验性急性心肌梗死心肌K~+/Na~+、Mg~(2+)/Ca/~(2+)Zn~(2+)/Cu~(2+)比值变化的研究

用结扎家免左冠状动脉建立急性心肌梗死区的模型,探讨梗死区心肌中K~+/Na~+、Mg~(2+)/Ca/~(2+)、Zn~(2+)/Cu~(2+)比值的变化与急性心肌梗死发生时间的规律。结果提示:(1)K~+/Na~+、Mg~(2+)/Ca/~(2+)比值随心肌缺血时间延长呈进行性下降。K~+/Na~+比值在60min、120min实验组与对照组比较有显著性差异(P<0.01);(2)Zn~(2+)/Cu~(2+)比值各实验组与对照组比较无显著性差异(P>0.05),但实验组随缺血时间延长,Zn~(2+)/Cu~(2+)比值呈下降趋势,120min组比15min、30min、60min组降低约1/2(PC<0.01)。测定心肌梗死区K~+/Na~+、Mg~(2+)/Ca/~(2+)比值可以作为显示和判定急性心肌梗死的重要指标。

EXPERIMENTAL. STUDY ON THE CHANGE OF K~+/Na~+ Mg~(2+)/Ca~(2+)、Zn~(2+)/Cu~(2+)RATIO IN CARDIAC MUSCLE WITH ACUTE MYOCARDIAL IN FARCTION

Using the animal model of acute myocardial infarction of rabbit after left coronary artery ligation, the authors studied the reltionship between the change of myocardial K~+/Na~+ ,Mg~(2+)/Ca~(2+), and Zn~(2+)/Cu~(2+) ratio and the time after acute myocardial infarction. The results demonstrated that. (1)the K+/Na~+ and Mg~(2+)/Ca~(2+)ratio dropped with prolongation of time myocardial ischemia. There was significant (P<0.01)difference of K~+/Na~+ratio between the experimental group and the control group at 60 min and 120 min of myocardial isehemia. The difference of Mg~(2+)/Ca~(2+) ratio was significant between its experimental group and contral group (P<0.01). (2)There was no significant (P>0.05)difference of Zn~(2+)/Cu~(2+) ratio between the experimental groups and the control group, but Zn~(2+)/Cu~(2+) ratio showed a tendency of dropping with prolongation of time of ischemia in the experimental group. At 120 min of myocardial ischemia,the Zn~(2+)/Cu~(2+) ratio was abour 1/2 as those at 15min, 30min, and 60min(P<0.01). It was suggested the K~+/Na~+ and Mg~(2+)/Ca~(2+) ratio of myocardial infarction area were the important criterion of diagnosis of acute myocardial infarction.