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静脉溶栓,应用方便迅捷,较易掌握,创伤相对较小,较动脉溶栓明显节省费用,患者较易接受,尤其适合基层医院开展。我院为三甲中医院,至今开展r-tpa溶栓的还不到10例,分析原因如下:①患者在急性期就诊意识不强,适合溶栓的病员少。②医生这方面经验不足,不愿冒风险,能保守就保守。而早期溶栓能大大提高脑梗死患者(尤其是中年患者)的生活质量,如何才能把静脉溶栓开展起来,造福更多的患者,成为我们面临的难题。请大家踊跃谈谈自己医院静脉溶栓的点滴经验,以供大家学习。
Intravenous thrombolysis, the application of convenient and quick, easy to grasp, trauma is relatively small, significant cost savings over arterial thrombolysis, patients are more acceptable, especially for primary hospital. Our hospital is the top three Chinese medicine hospital, has carried out less than 10 cases of r-tpa thrombolysis, analysis of the reasons are as follows: ① patients in the acute phase of treatment is not strong, suitable for thrombolytic patients less. ② Doctors in this area lack of experience, do not want to risk, can be conservative on the conservative. The early thrombolysis can greatly improve the quality of life of patients with cerebral infarction (especially middle-aged patients), how to carry out intravenous thrombolysis, the benefit of more patients, as we face the problem. Please actively talk about their own hospital intravenous thrombolytic drip experience for everyone to learn.