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急性心肌梗死溶栓时间对临床疗效的影响分析

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摘要 目的分析并探讨急性心肌梗死后溶栓治疗时间对治疗效果的影响。方法回顾性分析我院自2009年12月至2010年11月期间采用尿激酶对患者不同时间溶栓的治疗效果。结果全部70例患者的溶栓时间,在发病2h内再通率为80.9%(17/21),在发病2~6h内再通率为52.0%(13/25),在发病6~12h再通率为25.0%(6/24)。出现再灌注心律失常者占61%(22/36),其中9例患者为室性早搏,4例患者为频发房性早搏,3例患者表现为加速性室性自主心律,3例患者表现为窦性心动过缓,2例属于短阵性室速,1例属于Ⅱ度房室传导阻滞。结论溶栓治疗时间越早,血管再通率就越高,治疗效果越好。
作者 魏方华
出处 《中国现代药物应用》 2011年第18期46-47,共2页 Chinese Journal of Modern Drug Application
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  • 1急性心肌梗塞溶栓疗法参考方案(1996年7月修订)[J].中华心血管病杂志,1996,24(5):328-329. 被引量:1321
  • 2Weaver WD. Simes RJ, Betiu A. et al. Comparison of primary coronary angioplasty and intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review JAMA, 1997,278,2093-2098.
  • 3Grines CL, Browne KF Marco J, et al. A comparison of immediate coronary angioplasty with thrombolytic therapy for acute myocardial infarction. N Engl J Med, 1993, 328:673.
  • 4Tiefenbrunn AJ, Chandra MC, French WJ et al. Clinical expenience with primary percutanous transluminal coronary angioplasty compared with aheplase in patients with acute myocardial infarction: a report from the Second National Registry of Myocardial Infarction (NRMI - 2). J Am coll Cardiol, 1998, 31:1240- 1245.
  • 5The GUSTO Angiographic Investigators. The effects of tissue plasminogen activator, streptokinase, or both, on coronary artery patency, ventricular function, and survival after acute myocardial infarction. N Engl J Med, 1993, 329: 1615-1622.
  • 6The TIMI Study Group. The thrombolysis in myocardial infarction (TIMI) trial- phase 1 findings. N Engl J Med, 1985, 312:932-936.
  • 7Hochman JS, Sleeper LA. Webb JG, et al, The shock investigators. Early revascularization acute myocardial infarction complicated by cardiogenic shock. N Engl J Med, 1999, 341:625-634.
  • 8Ellis SG Riberiero da Silva E, Heyndrickx G et al. Randomized comparison of rescue angioplasty with conservative management of patients with early failure of thrombolysis for acute anterior myocardial infaration. Circulation, 1994,90 : 2280- 2284.
  • 9Ross AM, Coyne KS, Reiner JS, et al. A randomized trial comparing primary angioplasty with a strategy of short - acting thrombolysis and immediate planned rescue angioplasty in acute myocardial infarction: the PACT trial. J Am Coil Cardiol, 1999,34 : 1954- 1962.
  • 10李崇信,侯玉清,刘俭,翁昌鸿,贾满盈,刘伊丽.冠状动脉内心电图对冠状动脉腔内球囊扩张时缺血预适应的评价[J].中国心脏起搏与心电生理杂志,1997,11(3):144-146. 被引量:2

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