50例急性心肌梗塞患者急诊溶栓疗效观察

The Effects of Emergency Thrombolysis and Non-thrombloytic Therapy in 50 cases with acute myocardial infarction

目的：对急性心肌梗塞患者进行急诊溶栓治疗与否的疗效观察比较，分析急诊溶栓的可行性和必要性，方法：收集1997年6月～1999年5月近两年来急诊科50例急性心肌梗塞患者的临床资料，结果：50例急性心肌梗塞患者的溶栓率为62．0％，非溶栓率为38．0％，梗塞相关血管再通率为77．4％，未见严重副作用发生。结论：急诊溶栓后使患者病死率明显降低，但尚需对适应症进一步放宽。

To contrast the effects of emergency thrombolysis and non - thrombolytictherapy in 50 cases with acute myocardial infarction adn to analyze the feasibility and essentiality ofemergencv thrombolysis therapy. Methods About a period of 2 years (form June 1997 to May 1999)clinical data of patients admitted to emergency department in 50 cases with acute myocardial infarctionwere collected. Results The thrombolysis rate of 50 cases was 62. 0% (31/50 ), the non - thrombelysisrate was 38. 0% (19/50 ), the potency rate of infarct - related artery was 77. 4%. The side effects isvery weak. Conclusions The emergency thrombolysis therapy Can reduce the mortality obviously. Butthe ClinicaI indications need be expanded.