急性心肌梗死急诊ICU静脉溶栓的临床研究

Clinical study of emergency ICU intravenous thrombolysis in patients with acute myocardial infarction

目的:探讨急性心肌梗死急诊ICU静脉溶栓的治疗时机、方法及其效果。方法:收治急性心肌梗死患者50例,分两组,各25例,急诊重症监护室内治疗为观察组,心内科病房内治疗为对照组,两组均接受溶栓治疗,但治疗时机不同。观察治疗效果。结果:观察组就诊到溶栓治疗的时间、血栓再通率及4周内死亡率均优于对照组(P<0.05)。结论:急诊监护室内对急性心肌梗死患者行溶栓治疗能够提高治疗效果,保障患者的生命安全。

Objective:To investigate the timing, methods and effects of emergency ICU intravenous thrombolysis in acute myocardial infarction.Methods:50 patients with acute myocardial infarction were selected.They were divided into two groups,25 cases in each.Emergency intensive care treatment as the observation group,department of cardiology ward treatment for the control group.Two groups were treated with thrombolytic therapy,but the treatment time was different.Therapeutic effect was observed.Results:The observation group visits to the thrombolytic treatment time,recanalization rate and mortality within four weeks were better than the control group(P < 0.05).Conclusion:Emergency care for patients with acute myocardial infarction in patients with thrombolytic therapy can improve the treatment effect,ensure the safety of patients.