院前和急诊CCU静脉溶栓治疗急性心肌梗塞的疗效观察

The Curative Effect of Vein Thrombolytic Therapy to Acute Mgocar dial infarction patients before the adission and in the CCU

目的：探讨院前和急诊CCU静脉溶栓治疗急性心肌梗塞的必要性．方法：院前与急诊CCU确诊急性心肌梗塞，排除溶栓禁忌证即开始溶栓，以“急性心肌梗塞溶栓疗法参考方案，为标准判断疗效.结果：院前与急诊CCU溶栓时间提前，其3h,3～6h溶栓率、再灌注率明显提高．结论：院前及急诊CCU有必要在条件允许的情况下给予及时溶栓．

Objective：To discuss the necessary of thrombolytic therapy to acute myocardial infarction patients before the admission and in the CCU. Method ： After diagnosis of myocardial infarction was confirmed and contra - indication was ruled out, vein thrombolytic therapy was used. The curative effect was judged by ＂Reference plan of thrombolysis in acute myocardial infarction trial＂. Result ： The time that thrombus starts to dissolve decurtates. The thrombolytic rate of 3h and 3 - 6 h, the rate of reperfusion increase obviously. Conclusion ： His weces sary that acate myocardial iufarction patients before the admission and in the CCV were given vein thrombolytic therapy immediately.