急性心肌梗死再灌注治疗的临床研究

目的：比较不同再灌注治疗方案治疗急性心肌梗死（ＡＭＩ）的疗效和预后。方法：１１９例采用常规药物治疗，５７例行静脉溶栓、１４例行冠状动态内容栓（ＰＴＣＲ）、１２例行急诊经皮冠状动脉成形术（ＰＴＣＡ）。结果：静脉溶栓治疗冠状动脉再通率为５２．６％，其中，ＡＭＩ发生〈６ｈ者再通率为６７．６％，〉６ｈ者再通率仅为２０％。ＰＴＣＲ再通率为５０％。急诊ＰＴＣＡ手术成功率为９１．７％，２例植入冠状动脉支架成功。

CLINICAL STUDY OF REPERFUSION THERAPY IN ACUTE MYOCARDIAL INFARCTION

Objective:To compare with the prognosis and the effect of four kinds of therapies on acute myocardial infarction (AMI) Methods:194 patients of AMI were divided into four groups:119 cases were treated with medicine,57 cases with intravenous thrombolysis,14 cases with intracoronary thrombolysis,12 cases with emergency percutaneous transluminal coronary angioplasty(PTCA) Results:The recanalization of intravenous thrombolysis was 52 6% Among them,the recanadization of AMI cases who got the therapy for less than 6 hours was 67 6% but those who got the therapy for more than 6 hours was only 20% The recanalization of intracoronary thrombolysis was 50% The success rate of emergency PTCA was 91 7%,in which 2 cases were implanted with two stents successfully Conclusions:The reperfusion therapy in AMI can repatency coronary artery and reduce mortality The effect on emergency PTCA is better than others The major factors of successful thombolysis were the time and medicine