心肺复苏过程中静脉溶栓救治急性心肌梗死临床分析

Clinical Analysis of Intravenous Thrombolysis for Treatment of Acute Myocardial Infarction Patients During Cardiopulmonary Resuscitation

目的:总结心肺复苏过程中加用尿激酶溶栓救治急性心肌梗死患者的临床效果。方法:对在我院急诊科及ICU病房中发生心跳骤停的6例心梗患者,在心肺复苏过程中加用尿激酶溶栓治疗。结果:6例患者中5例复苏后存活(包括1例脑死亡病例),1例抢救无效于急诊室死亡。结论:对急性心肌梗死并发心跳骤停的患者,在心肺复苏过程中,应积极尽快溶栓治疗,而不应等待自主心跳恢复后再溶栓,以争取时间,最大限度地提高抢救成功率。

Objective：To summarize the clinical effect of adding urokinase thrombolysis for treatment of acute myocardial infarction during cardiopulmonary resuscitation. Methods： 6 cases of cardiac arrest in the emergency department and the ICU ward of our hospital patients with myocardial infarction, cardiopulmonary resuscitation plus thrombolytic ther apy. Results： Among the 6 cases, 5 cases survived after resuscitation（including one case of brain death） and one case died in the emergency department. Conclusion： To treat the acute myocardial infarction patients complicated with sudden car diac arrest, thrombolytic therapy should be taken as soon as possible during cardiopulmonary resuscitation rather than after the recovery of autonomous palpitation. Earlier thrombolytie therapy can enhance the successful rescue rate in maximum.