论文部分内容阅读
目的:对比研究急性心肌梗死院外、院内静脉溶栓效果、不良反应情况。方法对50例急性心肌梗死患者静脉溶栓治疗观察,其中17例院外溶栓患者为治疗组,33例院内溶栓患者为对照组,将两组对比。结果治疗组发病至溶栓时间提前约2h;治疗组再通率明显高于对照组;心肌酶峰值低于对照组(P<0.05);死亡率治疗组低于对照组。结论急性心肌梗死院外溶栓治疗可缩短发病时间,提高再通率,缩小梗死面积,减少住院天数,降低病死率。
OBJECTIVE: To compare the effects of venous thrombolysis and adverse reactions in patients hospitalized with acute myocardial infarction. Methods Fifty patients with acute myocardial infarction were treated by intravenous thrombolytic therapy, of which 17 were treated with extra-thrombolysis as the treatment group and 33 as the control group with thrombolytic therapy in the hospital. The two groups were compared. Results The onset of thrombolytic therapy in the treatment group was about 2 hours ahead of time. The recanalization rate of the treatment group was significantly higher than that of the control group. The peak of myocardial enzymes was lower than that of the control group (P <0.05). The death rate of the treatment group was lower than that of the control group. Conclusions Out-of-hospital thrombolytic therapy of acute myocardial infarction can shorten the onset time, increase the recanalization rate, reduce the infarct size, reduce the number of days of hospitalization and reduce the mortality rate.