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急性ST段抬高性心肌梗死尽早开通闭塞血管是治疗的关键。早期直接冠状动脉介入术(pPCI)优于溶栓治疗。但对于不能行pPCI的患者,早期及时溶栓治疗仍是有效的方法。本文重点关注解决提高药物溶栓再通率、建立溶栓后立即转诊PCI的治疗模式、保障溶栓后转诊PCI患者的安全等问题。
Acute ST-elevation myocardial infarction as soon as possible to open the occlusion of blood vessels is the key to treatment. Early direct coronary intervention (pPCI) is superior to thrombolytic therapy. However, for patients who can not be treated with pPCI, early thrombolytic therapy is still an effective method. This article focuses on solving the problem of improving the re-pass rate of drug thrombolysis, establishing the treatment mode of immediate referral PCI after thrombolysis, and ensuring the safety of referral PCI patients after thrombolysis.