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为探讨急性心肌梗死(AMI)患者静脉溶栓治疗近期病情不稳定的原因及规律,将176例AMI患者分为溶栓组和非溶栓组,根据AMI后心律失常发生的类型、时间及临床症状进行对比分析。结果表明,溶栓组心律失常发生率高于非溶栓组,24小时内为高峰期,近期血压降低、心肌梗死后心绞痛发生率明显高于非溶栓组;保护心功能、挽救坏死心肌等远期疗效溶栓组明显优于非溶栓组,根据这一临床特点提出护理对策。
In order to investigate the reason and rule of instability of intravenous thrombolysis in patients with acute myocardial infarction (AMI), 176 patients with AMI were divided into thrombolysis group and non-thrombolysis group. According to the type, time and clinical manifestation of arrhythmia after AMI Symptoms were analyzed. The results showed that the incidence of arrhythmia in thrombolytic group was higher than that in non-thrombolytic group, the peak was within 24 hours, the recent blood pressure was decreased, the incidence of angina after myocardial infarction was significantly higher than that in non-thrombolytic group; heart function was protected and myocardial necrosis was saved. Long-term efficacy of thrombolytic group was significantly better than non-thrombolytic group, according to the clinical features of nursing strategies.