| 摘要: |
| ［摘要］ 目的 总结基层医院急性ST段抬高型心肌梗死（STEMI）并心室颤动患者的救治体会。方法 回顾性分析抢救12例符合溶栓条件的急性STEMI心室颤动患者的临床资料。结果 在无直接经皮冠状动脉介入治疗（PCI）条件下，12例患者均采用及时的心脏电除颤和静脉溶栓治疗，11例获得成功，1例死亡。结论 急性STEMI患者在无PCI条件的基层医院应及时积极采用静脉溶栓疗法，心室颤动时应首选电击除颤，以提高抢救效果。 |
| 关键词: 心肌梗死 心室颤动 |
| DOI：10.3969/j.issn.1674-3806.2011.12.29 |
| 分类号:R 541 |
| 基金项目: |
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| Clinical analysis of 12 patients with ST-segment elevation myocardial infarction and ventricular fibrillation |
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XIE Wen-tao，LI Gui-fen，LI Wen-ming，et al.
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Department of Cardiovascular Medicine,Anxi County Hospital, Fujian 362400, China
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| Abstract: |
| ［Abstract］ Objective To explore the treatment experience of patients with ST-segment elevation myocardial infarction(STEMI) and ventricular fibrillation. Methods The clinical data of 12 patients with STEMI and ventricular fibrillation treated in our hospital were restrospetively analyzed.Results All patients with STEMI and ventricular fibrillation can be saved in primary hospital,11 patients were cured,1 patients died.Conclusion The patients with STEMI and ventricular fibrillation in the hospital without percutaneous coronary intervention should be treated with use the method of intravenous thrombulytic therapy and platelet activation. During ventricular fibrillation electric defibrillation is first choice, which can improve treatment effect. |
| Key words: Myocardial infarction Ventricular fibrillation |
