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已有研究提示,溶栓治疗后在住院早期(<32h)作冠脉造影及冠脉成形术并不能改善临床疗效。为此,本研究对溶栓后推迟(≥72h)侵入性治疗和保守治疗的疗效加以比较。选择的研究对象为1987年12月至1989年1月间收治的201例急性心肌梗塞患者。所有入选患者均在症状发作后2.0±0.8小时内静脉注射重建组织型纤溶酶原激活剂(rt-PA),进行溶栓治疗,然后随机分
Studies have shown that coronary angiography and coronary angioplasty in early hospitalization (<32h) after thrombolytic therapy does not improve the clinical efficacy. To this end, the study compared postponing thrombolysis (≥72h) invasive treatment and conservative treatment efficacy comparison. The subjects selected were 201 patients with acute myocardial infarction who were admitted between December 1987 and January 1989. All enrolled patients received intravenous reperfusion of tissue-type plasminogen activator (rt-PA) within 2.0 ± 0.8 hours after symptom onset for thrombolysis followed by randomization