论文部分内容阅读
对２２４例急性心肌梗塞病人，其中在门诊经尿激酶静脉急诊溶栓者４９例、未溶栓１７５例进行总结分析。结果急诊溶栓组符合冠脉再通者２１例（４２．８％），其中在起病２小时内者再通率为６１．５％。再通者中有９例在９０分钟内出现再灌注心律失常，均复律成功，无１例死亡。４周内死亡率为１０．２％，均为未再通者。无严重出血及脑卒中发生。未溶栓者原因主要为来诊延迟、高龄和伴有严重心脏并发症，作者认为：１．早期溶栓应做好防治再灌注心律失常。２．高龄者伴左心脏并发症者不应成为早期溶栓的禁忌证。
Of 224 patients with acute myocardial infarction, including outpatients with urokinase intravenous emergency thrombolysis in 49 cases, 175 cases without thrombolysis were analyzed. Results In the emergency thrombolysis group, 21 cases (42.8%) were eligible for coronary recanalization, and the recanalization rate was 61.5% within 2 hours of onset. Nine of the recanalisters experienced reperfusion arrhythmias within 90 minutes and were successfully cardioversion with none of them dead. The 4-week mortality rate was 10.2%, all of which were unresectable. No severe bleeding and stroke occurred. The reasons for the failure of thrombolysis are mainly delayed visit, advanced age and severe cardiac complications. The author thinks: 1. Early thrombolysis should be done to prevent reperfusion arrhythmia. 2. Elderly patients with left cardiac complications should not be contraindications to early thrombolysis.