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链激酶静脉溶栓治疗早期急性心肌梗死疗效分析
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【摘要】 目的 探讨链激酶静脉溶栓治疗急性心肌梗死的疗效。方法 在心电图监测下，对68例急性心肌梗死患者行链激酶静脉溶栓治疗。结果 68例患者中冠脉再通44例，再通率达64.7%；未再通24例，其中死亡4例，病死率为16.7%。不同时段溶栓时其并发症的发生率间差异有显著性（P<0.005）。结论 早期溶栓治疗可减少并发症，降低病死率。
【关键词】 急性心肌梗死；溶栓治疗；链激酶
Analysis of curative effect of the streptokinase on early acute myocardial infarction
【Abstract】 Objective To observe the efficacy of intravenous thrombolytic therapy of streptokinase on early acute myocardial infarction (AMI).Methods 68 patients with AMI were treated by intravenous thrombolytic therapy of streptokinase under electrocardiogram monitoring.Results The coronary recanalization were observed in 44 cases, with a recanalization rates of 64.7% and no recanalization was found in 24 cases. Four patients dead, with a mortality rate of 16.7%. The rate of complications during the different stages of thrombolytic therapy were significantly different (P<0.005).Conclusion Early application of thombolytic therapy to AMI can decrease the complication and mortality rate.
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