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目的分析急性心肌梗死早期静脉溶栓的疗效。方法将发病12 h内来院的急性心肌梗死(AMI)患者分为溶栓距离发病时间≤2 h组及溶栓距发病时间>2 h且≤12 h组,用尿激酶(UK)进行静脉溶栓,分析其血管再通率、住院期间严重并发症发生率及病死率。结果溶栓开始越早,血管再通率越高,严重并发症发生率及病死率越低。结论急性心肌梗死早期静脉溶栓可明显降低AMI患者的病死率及致残率。
Objective To analyze the curative effect of early intravenous thrombolysis in acute myocardial infarction. Methods The patients with acute myocardial infarction (AMI) who were admitted to hospital within 12 hours after onset were divided into two groups according to the onset time of thrombolysis ≤2 h and the onset time of thrombolysis> 2 h and ≤12 h. Urokinase (UK) Plug, analyze the rate of vascular recanalization, serious complications during hospitalization and mortality. Results The earlier thrombolysis, the higher the recanalization rate, the lower the incidence of serious complications and mortality. Conclusion Early intravenous thrombolysis in acute myocardial infarction can significantly reduce the mortality and morbidity of AMI patients.