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目的静脉溶栓治疗急性心肌梗塞（ＡＭＩ），以冠状动脉造影（ＣＡＧ）结果为标准，评价临床再通指标的价值及意义。方法用国产尿激酶（ＵＫ）１５０万Ｕ静脉滴注３０分钟内滴完，治疗急性心肌梗塞６６例，２小时内行冠状动脉造影。结果以ＣＡＧ为金标准，临床再通指标对血管开通判断敏感性为９５．２％，特异性为６６．７％，临床准确性为８４．８％。结论冠脉造影与临床再通指标有很好的相关性，临床标准判断冠脉血管再通的准确性较高，国产尿激酶静脉溶栓治疗ＡＭＩ血管开通疗效肯定
Objective To evaluate the value and significance of venous thrombolysis in the treatment of acute myocardial infarction (AMI) by the standard of coronary angiography (CAG). Methods Domestic urokinase (UK) 1.5 million U intravenous drip finished within 30 minutes, the treatment of acute myocardial infarction in 66 cases, 2 hours undergoing coronary angiography. Results With CAG as the gold standard, the clinical recanalization index had a sensitivity of 95.2%, a specificity of 66.7% and a clinical accuracy of 84.8%. Conclusion Coronary angiography and clinical recanalization indicators have a good correlation, clinical criteria to determine the higher accuracy of coronary recanalization, domestic urokinase intravenous thrombolytic therapy of AMI blood vessels open positive effect