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链激酶静脉溶栓治疗早期急性心肌梗死疗效分析

Effect of intravenous thrombolytic therapy of streptokinase on early acute myocardial infarction
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摘要 目的:探讨链激酶静脉溶栓治疗急性心肌梗死的疗效。方法:在心电图监测下,对34例急性心肌梗死患者行链激酶静脉溶栓治疗。结果:冠脉再通22例,再通率达64.7%;未再通12例,其中病死2例,病死率为16.7%。不同时段溶栓时其并发症发生率明显不同(P<0.005)。结论:早期溶栓治疗可减少并发症,降低病死率。除1例高龄患者消化道出血外,未见其他严重不良反应。 Objective:To observe the efficacy of intravenous thrombolytic therapy of streptokinase on early acute myocardial infarction (AMI). Methods: Thirty-four patients with AMI were treated by intravenous thrombolytic therapy of streptokinase under electrocardicgram monitoring. Results:The coronary reperfusions were observed in 22 cases,with a reperfusion rate of 64.7% and no reperfusion was found in 12 cases. Two patients died,with a mortality rate of 16.7%. The rates of complications during the different stages of thrombolytic therapy were significantly different(P〈0.005). No severe side effect was found except that one dd patient developed digestive tract bleeding. Conclusions:Early application of thrombolytic therapy to AMI can decrease the complication and mortality rate.
作者 刘斌
出处 《蚌埠医学院学报》 CAS 2005年第5期419-420,共2页 Journal of Bengbu Medical College
关键词 心肌梗死 血栓溶解疗法 链激酶 myocardial irdarction thrombolytic therapy streptoktnase
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