摘要
目的:研究急诊静脉溶栓治疗急性心肌梗塞(AMI)的疗效。方法:对76例急诊尿激酶静脉溶栓治疗的AMI病例进行回顾性分析。并以发病至溶栓时间的6h为界分组,比较两组病例的疗效。结果:本组冠脉再通率73.7%;轻度出血发生率11.8%,病死率15.8%,主要死因:心脏泵衰竭和严重心律失常。<6h组的冠脉再通率、轻度出血发生率、病死率分别是:84.0%、10.0%、8.0%;6～12h组分别是53.8%、15.4%、30.8%;两组冠脉再通率、病死率对比有显著性差异(P分别<0.01,<0.05);轻度出血发生率对比无显著性差异。结论:急诊静脉溶栓治疗急性心肌梗塞可以显著提高AMI的救治疗效,值得在基层医院推广。
Objective：To study the effect of intravenous injection urokinase during emergency treatment in 76 patients with acute myocardium infarction（AMI）.Methods：Retrospectively analyzed the data of 76 AMI patients treated with intravenous injection urokinase emergency.The 76 patients were divided two groups according time of onset to thrombolysis：〈6 h group and 6～12 h group.The effects of two groups were compared.Results：The recanalization rate of coronary artery was 73.3%,the hyporrea rate was 11.8% and mortality was 15.8% in whole group（76 cases）.Compared with 6～12 h group,the recanalization rate increased（84.0%,P〈0.01）and the mortality decreased（8.0%,P〈0.05）in 〈6 h group,but the hyporrea rate was no difference（P〉0.05）between two groups.Conclusion：Intravenous injection urokinase during emergency treatment may increase therapeutic effect for AMI patients;it may be generalized in substrate hospital.
出处
《心血管康复医学杂志》
CAS
2007年第4期384-386,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
尿激酶
心肌梗塞
血栓溶解疗法
Urokinase
Myocardium infarction
Thrombolytic therapy
