论文部分内容阅读
34例急性心肌梗塞(AMI)患者在发病7小时内进行了溶栓治疗,静脉和冠状动脉内溶栓分别是23例和11例。8例在溶栓过程中进行了急诊经皮冠状动脉腔内成形术(PTCA),3例2周至3个月施行了择期PTCA。11例接受PTCA治疗的患者有3例安放了血管内支架。结果表明:静脉溶栓和冠脉溶栓的3小时再通率分别为56.5％(13/23)和63.6％(7/11)(P>0.05)。急诊PTCA的成功率为87.5％(7/8)。血管再通组和PTCA成功的患者心功能改善情况优于未通组,病死率和并发症也低于后者。
Thirty-four patients with acute myocardial infarction (AMI) underwent thrombolysis within 7 hours of onset, and thrombolysis in venous and coronary arteries was 23 and 11, respectively. Eight patients underwent emergency percutaneous transluminal coronary angioplasty (PTCA) during thrombolysis and elective PTCA was performed in three patients from two weeks to three months. Three of 11 patients undergoing PTCA received an endovascular stent. The results showed that the three-hour recanalization rates of venous thrombolysis and coronary thrombolysis were 56.5% (13/23) and 63.6% (7/11), respectively (P> 0.05). The success rate of emergency PTCA was 87.5% (7/8). Cardiac function improvement was better in patients with revascularization and PTCA than in failed patients, with lower mortality and complications.