急性心肌梗死溶栓的急救体会

目的探讨急性心肌梗死院内溶栓的疗效,提高冠状动脉再通率。方法回顾分析我院实施院内溶栓治疗的50例急性心肌梗死患者临床资料。结果 A组临床血管再通率、出血发生率分别为67.7%、10.5%,B组分别为56.5%、9.7%,2组差异无统计学意义(P>0.05)。结论溶栓疗法现已成为早期急性心肌梗死患者的主要急救措施,溶栓疗法可抢救濒临死亡的心肌,缩小梗死范围,提高闭塞血管的再通,溶栓治疗的成功与并发症的防治与护理密切相关。

Objective To explore hospital thrombolysis in acute myocardial infarction in the efficacy,improve coronary artery patency rate.Methods A retrospective analysis of our hospital hospital thrombolytic therapy in 50 cases of acute myocardial infarction in patients with clinical data.Results A Clinical recanalization rate,bleeding rates were 67.7%,10.5%,B group were 56.5%,9.7%,no significant difference between the two groups（P〉0.05）.Conclusion Thrombolytic therapy has now become an early acute myocardial infarction the major first aid measures,thrombolytic therapy can myocardial salvage dying,reduce infarct size and improve occlusive vascular recanalization success and complications of thrombolytic therapy in the prevention and care are closely linked.