高龄急性心肌梗塞溶栓治疗的临床评价

目的：评价高龄急性心肌梗塞患者溶栓治疗的疗效和安全性。方法：９５例发病≤１２ｈ的急性心肌梗塞患者中，年龄≥７０岁３４例为高龄组，〈７０岁为低龄组，均符合溶栓条件，入院后给ＵＫ或ｒＳＫ静脉溶栓，１２０ｍｉｎ内观察再通指标；记录住院期间心脏事件发生率、病死率、出血并发症。结果：高龄组与低龄组溶栓治疗后冠状动脉再通率、出血并发症、住院期间病死率无显著性差异（Ｐ〉０．０５），心脏事件中高龄组发生率高龄组发

Clinical Evaluation of Thrombolytic Treatment in Aged Patients with Acute Myocardial Infarction

Objective:To evaluate the efficacy and safety of thrombolytic treatment in aged patients with acute myocardial infarction(AMI).Methods:95 cases of AMI (onset<12 hour)were divided into two groups,the aged group(>70 year old)and the control group(<70 year old),which conformed to thrombolytic condition.After admitted to hospital,UK or rSK was intravenously infused and the reperfusion criteria were observed during 120 minutes.The incidence of cardiac attack,mortality rates and hemorrhagic complications were recorded during hospitalization.Results:After thrombolytic treatment,the reperfusion rate of coronary artery,hemorrhagic complications and the mortality rate were not significantly statistically different in the aged group and the control group(P<0.05).The incidence of cardiac attack was higher in the aged group than that of the control group.Conclusion:The thrombolytic treatmnent was safe and effective in aged patients with AMI.