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目的观察急性心肌梗死(AMI)静脉溶栓的疗效及预后。方法对58例AMI患者的静脉溶栓治疗进行回顾性分析。结果58例中50例再通,其中男35例,女15例。发生加速性室性自主心律20例,未经特殊处理,10余分钟后自行缓解;15例发生I度房室传导阻滞,治疗后1～2d消失;3例出现鼻黏膜出血,经局部治疗好转。58例中无1例死亡,其中,50例溶栓再通后,心功能有所改善。8例失败考虑为时间计算不准确,超过溶栓最佳时机。结论静脉溶栓疗法可降低AMI病死率,减少并发症,改善左心室功能,改善预后,并显著改变AMI病程,疗效快、效果好。
Objective To observe the curative effect and prognosis of intravenous thrombolysis in patients with acute myocardial infarction (AMI). Methods A retrospective analysis of intravenous thrombolysis in 58 AMI patients was performed. Results of 58 cases, 50 cases recanalization, including 35 males and 15 females. There were 20 cases of accelerated ventricular spontaneous rhythm, without special treatment, more than 10 minutes after spontaneous remission; 15 cases of I degree atrioventricular block, disappeared 1 ~ 2d after treatment; 3 cases of nasal mucosal hemorrhage after local treatment Better. No one of 58 cases died, of which 50 cases of thrombolytic recanalization, cardiac function improved. Eight cases of failure to consider the calculation of time is not accurate, the best time to thrombolytic. Conclusion Intravenous thrombolytic therapy can reduce the mortality of AMI, reduce complications, improve left ventricular function, improve prognosis, and significantly change the course of AMI, with quick curative effect and good effect.