| 摘要: |
| ［摘要］ 目的 探讨分析静脉溶栓治疗早期急性心肌梗死的安全性及临床疗效。方法 在心电监测下应用尿激酶静脉溶栓治疗93例急性心肌梗死患者，并对其临床资料进行回顾分析。结果 93例患者中冠脉达到再通标准69例，再通率为74.19%；24例未达再通标准，其中3例死亡，病死率为3.23%。发病<6 h溶栓治疗的成功率明显高于6～12 h的再通成功率，差异有统计学意义（P<0.05）。结论 急性心肌梗死患者应尽早行静脉溶栓治疗，以减少并发症、降低病死率、提高再通的成功率。 |
| 关键词: 急性心肌梗死 静脉溶栓治疗 尿激酶 心电监护 |
| DOI：10.3969/j.issn.1674-3806.2011.06.14 |
| 分类号:R 542.2 |
| 基金项目: |
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| Curative effect analysis of intravenous thrombolytic therapy in acute myocardial infarction |
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CHEN Chun-xiao, LI Pei-kan
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Department of Cardiology, the People′s Hospital of Shanwei City，Guangdong 516600, China
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| Abstract: |
| ［Abstract］ Objective To observe the security and efficacy of intravenous thrombolytic therapy on acute myocardial infarction(AMT).Methods Ninety-three patients with AMI were treated by intravenous thmmbolytie therapy of streptokinase under electrocardiogram monitoring and their results were analyzed.Results The coronary rceanalization were observed in 69 cases，with a recanalization rates of 74.19% and no recanalization was found in 24 cases. Of them 3 patients dided, with a mortality rate of 3.23%. The rates of recanalization of thrombolytic therapy in <6 h of onset group were significantly different higher than those in 6～12 h of onset group(P< 0.05).Conclusion Early intravenous thrombolytic therapy to AMI can decrease the complication and mortality rate, increase the recanalization rates. |
| Key words: Acute myocardial infarction(AMI) Intravenous thrombolytic therapy Urokinase Electrocardiogram monitoring |
