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本文报道８例急心肌梗塞患者的床旁冠状动脉（冠脉）内尿激酶（ＵＫ）溶栓治疗（ＰＴＣＲ）。８例患者ＰＴＣＲ顺利，其间病情稳定。冠脉造影时间为２５±４．４ｍｉｎ。５例患者ＰＴＣＲ后２１．７±９．２ｍｉｎ梗塞冠脉再通，再通时ＵＫ量１９．１±１１．３万Ｕ。３例患者持续ＰＴＣＲ达２ｈ，梗塞冠脉未能再通。结果表明，ＰＴＣＲ直接应用于床旁避免了传统ＰＴＣＲ需专用导管室和多科人员参与而难以应用于急诊的不足；床旁ＰＴＣＲ的有效再通时间短于静脉溶栓，更能有效地恢复冠脉血流和缩小梗塞范围。作者认为床旁ＰＴＣＲ是一种适合急诊溶栓的可行方法。
This article reports the bedside coronary artery (coronary) urokinase (UK) thrombolytic therapy (PTCR) in 8 patients with acute myocardial infarction. PTCR was successful in 8 patients, during which time the condition was stable. Coronary angiography time was 25 ± 4.4min. In 5 patients 21.7 ± 9.2 min after PTCR infarction coronary recanalization, then the amount of UK 19.1 ± 113,000 U. 3 patients continued PTCR up to 2h, infarction coronary artery failed to recanalization. The results showed that the PTCR directly applied to the bedside avoids the shortcomings of the traditional PTCR with special catheter room and multidisciplinary staff and is difficult to apply in emergency. The effective recanalization time of PTCR at the bedside is shorter than that of intravenous thrombolysis, Blood flow and narrow the infarct range. The authors believe that bedside PTCR is a viable method for emergency thrombolysis.