急性心肌梗塞溶栓效果的观察

Observation on the Thromholytic Effect of Acute Myocardiac infarction

本文对８８例急性心肌梗塞患者中溶栓治疗组３０例与其他综合治疗的对照组５８例作了疗效比较，结果显示两组血管再通率分别为６６．７％和３８．８％（Ｐ＜０．ＤＩ）；４周病死率分别为１０．０％和１８．９％（Ｐ＜０．０５），病人所患休克、心力衰竭、严重心律失常、梗塞延展和梗塞后。心绞痛所占比率分别为３．３％、１６．６％、２３．３％、６．６％、１３．３％、１０．３％、３７．９％、３４．４％、１２．１％、２７．５％。提示溶栓治疗的疗效明显优于对照组，而且其严重并发症、梗塞延展和梗塞后心绞痛的发生明显减少。

In this article, 88 cases of patients with acute myocardiac infarction were diveded into therapeutic group of 30 cases and control group of 58 cases, and the thrombolytic effect of acute myocardiac infarction in the former group was studied compared with the control group. The results showed that the blood vessel redeoppolation rates were respectively 66. 7% and 38. 8% (P<0. 01). Death rate in four weeks were 10. 0% and 18. 9%. The rates of patients with shock, cardiac asthenia, postinfarctional duration and postinfarctional angina pectoris were respectively 3.3%, 16. 6%, 23. 3%, 6. 6%, 13. 3 and 10.3%. 37. 9%, 34. 4%, 12,l%, 27. 5%. As aresult, the curative effect of therapeutic group was better than that of control group.And the occurance of severe complications,postinfarctional duration and postinfarctional angina pectoris reduced.