摘要
111例急性心肌梗死（AMI）发病到溶栓时间为232．5±124．0min，其中发病到来院时间144．2±119．2min，来院到溶栓时间（DNT）87．6±52．3min。79例溶栓血管再通患者之DNT短于32例未溶通者（77．4±47．9比112．8±53．6min，P＜0．002）；DNT中，就诊到入院时间未通组长于溶通组（87．0±48．9比55．1±43．8min，P＜0．002）。溶栓延迟原因有：在院外患者对病情认识不足或就诊不便；院内办手续和住院缓慢以及急诊留观等。DNT≤45min的26例AMI中，18例（69．2％）系在急诊室溶栓。
The onset of the Symptom to thrombolysis time in 111 patients with acute myocardial infarction (AMI)receiving thrombolysis was 232. 5±124. 0 min, of which onset to door time 144.2±119. 2 min, door to needle time (DNT) 87.6 ± 52. 3 min. The DNT was shorter in 79 cases with reperfusion after thrombolysis than 32 noreperfusion's (77. 4 ± 47. 9 vs. 112. 8±53. 6 min, P<0. 002). For door to Admission time was longer in group noreperfusion than that with reperfusion (87.0±48. 9 vs. 55. 1±43. 8 min, P<0. 002). The causes of delayed thrombolysis included: lack of full recognization of symptoms, consultation inconvenience, prolonged admission formalities and being detained in emergency room. From 26 cases with DNT≤45 min, 18 of them (69. 2% ) received thrombolysis in emergence room.
出处
《急诊医学》
CSCD
1996年第4期195-196,203,共3页
