摘要
目的：总结急性心肌梗塞急诊溶栓效果。方法：使用ｒｔ－ＰＡ、ＳＫ急诊静脉溶栓４１例。结果：再通率７０．７％（２９／４１），＜７０岁组及≥７０岁组再通率无显著差异。未通组与再通组出血、低血压发生无差异，而Ｋｉｌｉｐ≥Ⅲ级以上、严重心律失常、一周内病死率及梗后心绞痛，未通组明显高于再通组。１１例出现再灌注心律失常。结论：溶栓治疗能保护心功能，改善预后。对７０岁以上ＡＭＩ仍应积极溶栓治疗。应用地塞米松可减少ＳＫ的副作用。要警惕早期溶栓恶性心律失常的出现。为进一步提高溶栓效果，积极提倡推广急诊溶栓。
Objective:To evaluate the effect of intravenous thrombolytic therapy on
acute myocardial infarction(AMI)in the emergency departmentMethods:Fortyone cases of AMI
was injected intravenously with 100mg rtPA and 15million u streptase (SK) in the
EICUResults:Reperfusion rate was 707%(29/41),reperfusion rate showed no significant
differences between below 70 yearold group and over 70 yearold group,hemorrhage(mild
bleeding) and hypotension showed no significant differences between reopened group and
unopened group,but cardiac function grade killip or over,cardiac arrhythmia,mortality rate in the
first week,and argina pectoris after AMI in unopened group were significantly higher than that in
opened group11 cases occurred reperfusion arrhAuthor ythmiaConclusion:Thrombolytic
therapy can protect cardiac function and improve the prognosisIt is positive that thrombolytic
therapy is given to over 70 yearold patients of AMIDexamethasone can relieve the side effects
of SKIt should be keep in the mind that cardiac arrhythmia may occur in early stageIt was
suggested that intravenous thrombolytic therapy of AMI should be carried out and expended in
the emergency department in order to increase effect of that
出处
《广西医学》
CAS
1999年第3期395-398,共4页
Guangxi Medical Journal
关键词
静脉溶栓
急诊
心肌梗塞
AMI
治疗
Intravenous thrombolytic
therapy
Emergency treaemtnt
Acute myocardial infarction
