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目的:探讨静脉溶栓治疗高龄急性心机梗死患者的方法、安全性及有效性。方法对治疗组50例和对照组50例高龄急性心肌梗死患者进行对比分析。在常规治疗基础上,治疗组给予静脉溶栓治疗。结果治疗组和对照组在治疗后出血、心律失常发生、病死率方面无明显差异;在心电图梗死性Q波及血清CK、CK—MB变化,梗死后心绞痛发作,心电图ST段变化,心功能状态等方面差异显著。结论在无其他溶栓禁忌症情况下,对高龄急性心肌梗死患者进行溶栓治疗可降低并发症,减少病死率,改善患者生存质量。
Objective: To investigate the method, safety and efficacy of intravenous thrombolysis in elderly patients with acute myocardial infarction. Methods 50 cases of treatment group and control group 50 cases of elderly patients with acute myocardial infarction comparative analysis. On the basis of routine treatment, the treatment group was given intravenous thrombolysis. Results There was no significant difference between the treatment group and the control group in terms of bleeding after hemorrhage, arrhythmia, and mortality. In terms of electrocardiogram infarction Q wave, changes of serum CK and CK-MB, post-infarction angina pectoris, ST segment changes in ECG, cardiac function status Significant differences. Conclusion In the absence of other thrombolytic contraindications, thrombolysis in elderly patients with acute myocardial infarction can reduce complications, reduce mortality and improve patient quality of life.