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急性心肌梗死院内溶栓与急诊溶栓治疗疗效对比 被引量:8

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摘要 目的比较急性心肌梗死行急诊溶栓和院内溶栓疗效。方法选取97例急性心肌梗死病人,给予尿激酶溶栓治疗。结果超早期溶栓(3小时)可使肌酸磷酸激酶高峰提前,再通率提高,病死率降低,但左室射血分数并无改变。结论早期溶栓对改善急性心肌梗死的预后是至关重要的。 Objective To evaluate the acute myocardial in farction underwent emergency thrombolysis therapy and hospitalized thrombolytic therapy.Methods 97 cases with acute myocardial infarction patients given thrombolytic therapy with urokinase.Results The creatine phosphokinase peak can be predicted ahead by ultra-early thrombolytic(3 hours),and recanalization rate can be raised,mortality can be reduced,but there was no change in left ventricular ejection fraction.Conclusion Early thrombolysis is very critical for the improving prognosis for patients with acute myocardial infarction.
作者 王善飞
出处 《中国保健营养(下半月)》 2012年第10期4246-4246,共1页 China Health Care & Nutrition
关键词 急性心肌梗死 溶栓治疗 肌酸磷酸激酶 Cute myocardial infarction Thrombolysis therapy Creatine phosphokinase
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参考文献3

  • 1Chesebro JH,Knatterud G,Roberts R,et al.Thrombolysis in Myocardial Infarction (TIMI) Trial, phase I: a comparison between intravenous tissue plasminogen activator and intravenous streptokinase; clinical findings through hospital discharge[].Circulation.1987
  • 2Gissi Z.Long-term effects of intravenous thrombolysis in acutemyocardial infarction:Final report of the Gissi study[].The Lancet.1987
  • 3Koren G,Weiss AT,Hasin Y,et al.Prevention ofmyocardial damage in myocardial ischemia by earlytreatment with intravenous streptokinase[].The New England Journal of Medicine.1985

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