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两种方法治疗急性心肌梗死的疗效比较
引用本文:泰迁,张志伟. 两种方法治疗急性心肌梗死的疗效比较[J]. 中国基层医药, 2008, 15(8)
作者姓名:泰迁  张志伟
作者单位:1. 深圳市孙逸仙心血管医院核医学科,广东省深圳,518020
2. 深圳市孙逸仙心血管医院急诊科,广东省深圳,518020
摘    要:目的 比较静脉溶栓与静脉溶栓加延迟冠状动脉内支架置入术(溶栓+延迟支架)治疗急性心肌梗死的效果.方法 60例急性心肌梗死(AMI)患者分为两组,溶栓组30例,溶栓+延迟支架组30例,全部病例均行99Tcm-甲氧基异丁基异腈(MIBI)心肌断层显像(sPECT).结果 溶栓组、溶栓+延迟支架组心肌显像的总积分分别为(29.5 4-7.8)、(18.4±6.2)(t=7.5,P<0.01).结论 在AMI的治疗中,溶栓+延迟支架置人术疗效明显优于单纯溶栓治疗.

关 键 词:放射性核素显像  心肌梗死  血管成形术  经腔  经皮冠状动脉

A comparative study of intravenous rt-PA thrombolysis and late intracoronary stenting in the treatment of acute myocardial infarction using 99Tcm-MIBI SPECT imaging
QIN Qian,ZHANG Zhi-wei. A comparative study of intravenous rt-PA thrombolysis and late intracoronary stenting in the treatment of acute myocardial infarction using 99Tcm-MIBI SPECT imaging[J]. Chinese Journal of Primary Medicine and Pharmacy, 2008, 15(8)
Authors:QIN Qian  ZHANG Zhi-wei
Abstract:Objective To evaluate and compare the therapeutic effects among intravenous rt-PA thrombolysis,thrombolysis plus delayed intracoronary stenting for acute myocardial infaction(AMI)using 99Tcm-MIBI myocar dial SPECT imaging.Methods 60 cases of AMI were divided into two groups Which were the thrombolysis group(n=30),thrombolysis plus delayed stenting group(n=30).99Tcm-MIBI myocardial SPECT imaging was performed 3 weeks after thrombolysis therapy.Results The scores of the two groups were(29.5±7.8),(18.4±6.2)(t=7.2,P<0.01)respectively.Conclusion Thrombolysis plus delayed stenting seems to be more effective than thrombolysis.
Keywords:Radionuclide image  Mycardial infarction  Angioplasty  transluminal  percutaneous coronary
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