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目的研究溶栓疗法对急性心肌梗死(AM I)后再发心绞痛的影响。方法观察52例AM I早期溶栓治疗后心绞痛发生情况并与同期住院的52例AM I后未溶栓者进行对比。结果心绞痛在溶栓组发生率为36.5%,;非溶栓组发生率为44.2%。2组比较无统计学意义(P>0.05)。结论AM I患者早期静脉溶栓治疗不能防止AM I后再缺血。
Objective To investigate the effect of thrombolytic therapy on recurrent angina after acute myocardial infarction (AMI). Methods The incidence of angina pectoris in 52 AMI patients treated with early thrombolytic therapy was observed and compared with 52 patients without AMI who were hospitalized in the same period. Results The incidence of angina in thrombolytic group was 36.5%, while that in non-thrombolytic group was 44.2%. There was no significant difference between the two groups (P> 0.05). Conclusions Early intravenous thrombolysis in patients with AMI can not prevent ischemia after AMI.