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目的探讨静脉溶栓治疗急性心肌梗死的临床疗效。方法回顾分析45例患者的临床资料。结果本组45例中32例再通,其中男22例,女10例,发生加速性室性自主心律10例,未经特殊处理自行缓解,11例发生Ⅰ度房室传导阻滞,治疗1～2d消失;4例出现鼻黏膜出血,经局部治疗好转,无死亡病例。结论早期溶栓可挽救濒临坏死的心肌,缩小梗死范围,缩短疗程,减少并发症,提高生存率。
Objective To investigate the clinical efficacy of intravenous thrombolysis in the treatment of acute myocardial infarction. Methods The clinical data of 45 patients were retrospectively analyzed. Results In this group of 45 cases, 32 cases recanalized, including 22 males and 10 females, and 10 cases of accelerated ventricular autonomic arrhythmia. Without special treatment, they were relieved spontaneously. Eleven degrees of atrioventricular block were observed in treatment 1 ~ 2d disappeared; 4 cases of nasal mucosal bleeding, local treatment improved, no deaths. Conclusion Early thrombolysis can save endocardial necrosis of the myocardium, reduce infarct size, shorten the course of treatment, reduce complications and improve survival rate.