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目的 探讨溶栓治疗的并发症 .方法 急性心肌梗死 (AMI)住院死亡并行尸体解剖 6 3例 ,2 6例曾给予溶栓治疗 ,37例行常规治疗 .结果 两组性别、年龄、CHD的危险因素 ,梗死次数 ,心肌酶学、梗死部位及血管狭窄程度均无明显差异 (P>0 .0 5 ) .但非溶栓组心肌出血明显高于溶栓组 ,而溶栓组心脏破裂明显高于非溶栓组 (P<0 .0 5 ) .结论 AMI早期溶栓治疗心脏破裂的发生率较非溶栓组明显升高 .但其他并发症包括心肌出血 ,梗死面积扩展并不增加 ,心肌出血和心脏破裂多与血管狭窄的严重程度有关 .
Objective To investigate the complications of thrombolytic therapy.Methods 63 cases of acute myocardial infarction (AMI) were hospitalized and died from autopsy, 26 cases were given thrombolytic therapy and 37 cases were treated routinely.Results The gender, age, risk of CHD There was no significant difference in the number of myocardial infarction, myocardial enzyme, myocardial infarction, and degree of stenosis (P> 0.05), but the myocardial hemorrhage in non-thrombolytic group was significantly higher than that in thrombolytic group (P 0.05) .Conclusion Early thrombolytic therapy of AMI has a higher incidence of cardiac rupture than non-thrombolysis group, but other complications include myocardial hemorrhage, infarct size expansion does not increase, myocardial hemorrhage and More heart rupture and the severity of vascular stenosis.