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目的观察心肺复苏及急性心肌梗死(AMI)术后溶栓治疗的经验。方法来源于本院心肺复苏及急性心肌梗死(AMI)术后溶栓的患病者,选入共有64例患病者,其中女性26例,男性38例。分析和统计溶栓成功患者的临床资料,按照再通冠状动脉的标准筛选出患病者与AMI溶栓试验比较。结果两组对照差异无统计学意义(P>0.05)及观察组未见危及生命的出血。结论心肺复苏后溶栓治疗的严重性与非溶栓治疗比较出血率较高。但整体而言、对心肺复苏成功的心肌梗塞患者进行了溶栓治疗可以改善远期神经功能并显著提高患者的出院生存率。
Objective To observe the experience of postoperative thrombolysis after cardiopulmonary resuscitation and acute myocardial infarction (AMI). Methods A total of 64 patients were selected, including 26 females and 38 males, from patients undergoing cardiopulmonary resuscitation and thrombolysis after acute myocardial infarction (AMI). The clinical data of patients with successful thrombolysis were analyzed and statistically compared with the AMI thrombolysis test in accordance with the criteria for recanalization of coronary arteries. Results There was no significant difference between the two groups (P> 0.05) and no bleeding in the observation group. Conclusions The severity of thrombolytic therapy after cardiopulmonary resuscitation is higher than that of non-thrombolytic therapy. Overall, however, thrombolytic therapy of patients with successful MI and myocardial infarction improves long-term neurological function and significantly improves patient discharge.