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急性心肌梗死所致心脏骤停复苏后的溶栓治疗进展 被引量：4

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摘要 溶栓治疗是目前救治急性心肌梗死（acutemyocardial infarction，AMI）最重要的临床方法之一，大量相关研究证实，早期对AMI患者行溶栓治疗能够显著降低急性心肌梗死患者死亡率。然而，对于急性心肌梗死并发心脏骤停复苏后的患者，是否可行溶栓治疗，溶栓治疗后能否使患者受益，目前尚没有肯定性结论。2005年国际心肺复苏指南仍将有创或较长时间心肺复苏术（cardiorespiratory resuscitation，CPR）列为溶栓禁忌，但近年来国内外逐渐出现AMI患者心肺复苏后静脉溶栓治疗是安全、有效的临床报告。因此，对于AMI并发心脏骤停行胸外心脏按压、电除颤术等复苏治疗病情得以恢复患者，溶栓治疗的安全性、有效性及影响溶栓疗效相关因素等问题成为临床关注的热点。
作者 卢俊英 王育珊
机构地区 吉林大学第二医院急救医学科(急救医学教研室)
出处 《中国急救复苏与灾害医学杂志》 2008年第3期182-184,共3页 China Journal of Emergency Resuscitation and Disaster Medicine
基金 长春市科技局科技攻关计划项目(06GG38) 吉林省科学技术厅项目(200705201)
关键词 静脉溶栓治疗 急性心肌梗死 心脏骤停 复苏后 RESUSCITATION 国际心肺复苏指南 AMI患者 心肺复苏术
分类号 R542.22 [医药卫生—心血管疾病] R541.78 [医药卫生—心血管疾病]
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参考文献19

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二级参考文献43

  • 1Bottiger BW, Bohrer H, Bach A, et al. Bolus injection of thrombolytic agents during cardiopulmonary resuscitation for massive pulmonary embolism[J]. Resuscitation, 1994,28:45 - 54.
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共引文献435

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引证文献4

二级引证文献37

中国急救复苏与灾害医学杂志
2008年 第3期

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