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静脉溶栓疗法是目前治疗急性心肌硬死(AMI)的首选方法之一,已广泛应用于临床,溶栓时机宜在AMI的早期。近年来,对AMI早期患者进行冠脉溶栓,使闭塞的血管再通,缺血心肌重获灌注。另外经皮穿刺冠脉再通(PTCR)受到条件限制,不能广泛应用于临床。静脉冠脉再通(IVCR)简单易行,急诊病人生命危急时刻,在急诊科便可以成功地施行,能使近半数以上的患者恢复健康。现将我院急诊科1997年～2000年共收治的12例早期AMI患者,对其IVCR疗法加以总结,并对其疗效、再通指标、病例选择加以讨论。
Intravenous thrombolytic therapy is currently one of the preferred methods of treatment of acute myocardial infarction (AMI), has been widely used in clinical, thrombolytic timing should be in the early AMI. In recent years, patients with AMI in early coronary thrombolysis, occlusion of recanalization of blood vessels, myocardial ischemia reperfusion. In addition percutaneous coronary recanalization (PTCR) subject to conditions, can not be widely used in clinical. Intravenous coronary recanalization (IVCR) is simple and easy. Emergency patients can be successfully implemented in the emergency department in emergency situations and can restore the health of nearly half of patients. Now in our hospital emergency department from 1997 to 2000 were treated 12 cases of early AMI patients, its IVCR therapy was summarized, and its efficacy, re-index, the case selection to be discussed.