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目的探讨急性心肌梗死(AMI)的治疗方法。方法对54例确诊为AMI且符合溶栓条件的患者进行溶栓以及规范化治疗,并进行对症处理。结果 54例患者经静脉溶栓治疗再通39例,再通率为72.4%,发生出血5例,其中,6h内组出血3例,均为轻度出血。发病4周内死亡4例,死亡率为7.4%。结论早期规范的溶栓治疗是治疗AMI的关键,静脉溶栓治疗是恢复血管灌注的有效手段,可使血栓堵塞的冠状动脉再通。尽早再灌注可维持心功能,减少并发症,降低病死率。
Objective To investigate the treatment of acute myocardial infarction (AMI). Methods Fifty-four patients who were diagnosed as AMI and were eligible for thrombolytic therapy were treated with thrombolysis and standard therapy, and symptomatic treatment was performed. Results 54 patients recanalized by thrombolytic therapy in 39 cases, the recanalization rate was 72.4%, bleeding occurred in 5 cases, of which 6h group of 3 cases of hemorrhage, were mild bleeding. 4 cases died within 4 weeks, the mortality rate was 7.4%. Conclusion Early standardized thrombolytic therapy is the key to the treatment of AMI. Intravenous thrombolysis is an effective means of restoring vascular perfusion and can reopen thrombus-occluded coronary arteries. Early reperfusion can maintain cardiac function, reduce complications and reduce mortality.