摘要
心搏骤停是急性ST段抬高型心肌梗死最严重的并发症,发生后需立即心肺复苏[1]。对于急性ST段抬高型心肌梗死,早期、快速和完全的开通梗死相关动脉是改善患者预后的关键。溶栓治疗快速、简便,对于有适应证的STEMI患者,静脉内溶栓仍是较好的选择[2]。对于STEMI导致心搏骤停的患者心肺复苏后施行溶栓治疗是否受益,目前尚无定论,相关病例报道也较少[3],检索文献后未见有STEMI患者心肺复苏同时行静脉溶栓治疗的报道。
Cardiac arrest(CA) is the most serious complication of acute ST-segment elevation myocardial infarction(STEMI), which requires immediate high-quality cardiopulmonary resuscitation(CPR). Intravenous thrombolytic therapy is a method of reperfusion therapy, and there have been few previous studies on thrombolytic therapy in patients with acute STEMI during CPR. We present a case of thrombolytic therapy on acute STEMI during CPR to improve clinical practice under this circumstance.
作者
桑栋栋
周轶
商德亚
SANG Dongdong;ZHOU Yi;SHANG Deya
出处
《临床急诊杂志》
CAS
2021年第7期494-496,共3页
Journal of Clinical Emergency
关键词
心肺复苏
急性心肌梗死
溶栓
cardiopulmonary resuscitation
acute myocardial infarction
thrombolytic therapy