不同年龄急性心肌梗死47例溶栓疗效观察

目的观察溶栓治疗对不同年龄组急性心肌梗死患者的效果及并发症。方法将47例急性心肌梗死(AMI)患者按发病年龄分成3组,进行尿激酶(UK)溶栓治疗。结果12 h内溶栓的47例AHI患者再通率、死亡率和并发症发生率分别为55.3%、14.9%和8.5%;6 h内溶栓再通率老年组(50%)明显低于青年组(80%)和老年前期组(70%)。老年组住院死亡率为25.9%,且有出血并发症发生;而青年组和老年前期组无1例死亡,且无1例出血并发症发生。结论提示UK溶栓疗效与患者年龄有关,老年人溶栓疗效较差,病死率和出血并发症发生率较高。

Therapeutic Effect of Thrombolysis on 47 Cases of Acute Myocardial Infarction

[Objective] To observe the therapeutic effect of thrombolysis in treating acute myocardial infarction(AMI) of different age groups and its complications.[Methods] 47 cases of AMI were divided into 3 groups according the age and were treated with urokinase(UK).[Results] The recanalization rate,mortality rate and complication occurrence rate of the 47 cases within 12h after thrombolysis treatment were 55.3%,14.9%,and 8.5% respectively.The recanalization rate of the senium group(50%) was obviously lower than that of the youth group(80%) and the pre-senium group(70%).Hospital mortality rate of the senium group was 25.9% with the occurrence of hemorrhage complication.Neither death nor complication occurred in the youth group and the pre-senium group.[Conclusion] The therapeutic effect of the UK thrombolysis is related to the age of the patients;that of the senium group is relative ill with high mortality and complication rate.