| 急性心肌梗死心肺复苏术后溶栓的临床研究 |
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| 引用本文： | 张志友,丁素云.急性心肌梗死心肺复苏术后溶栓的临床研究[J].实用全科医学,2011,9(1):41-42. |
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| 作者姓名： | 张志友 丁素云 |
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| 作者单位： | 山东省淄博市第一医院急诊科; |
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| 摘 要： | 目的观察急性心肌梗死（AMI）心肺复苏术后溶栓治疗的有效性和安全性。方法将63例ST段抬高伴心脏骤停心肺复苏成功的AMI患者，根据是否获得溶栓治疗，随机分为溶栓组和对照组。溶栓组31例，对照组32例。两组患者心肺复苏成功后，均给予扩张冠状动脉或抗休克治疗、抗心律失常、脑保护等对症处理，溶栓组给予尿激酶静脉溶栓。结果溶栓纽23例血管再通，对照组4例血管再通，溶栓组患者血管再通率明显高于对照组（P〈0．01）；住院4周平均心脏事件发生率明显低于对照组（P〈0．05）；溶栓组住院4周死亡1例，对照组住院4周死亡9例，病死率明显低于对照组（P〈0．05）；两组患者出血发生率差异无统计学意义（P〉0．05）。结论AMI患者心肺复苏术后行溶栓治疗安全有效。
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| 关 键 词： | 急性心肌梗死 心肺复苏 溶栓 |
The Effect of Thrombolysis in Patients with Acute Myocardial Infarction after Cardiopulmonary Resuscitation |
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| ZHANG Zhi-you,DING Su-yun.The Effect of Thrombolysis in Patients with Acute Myocardial Infarction after Cardiopulmonary Resuscitation[J].Applied Journal Of General Practice,2011,9(1):41-42. |
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| Authors: | ZHANG Zhi-you DING Su-yun |
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| Institution: | ZHANG Zhi-you,DING Su-yun.Departmet of Emergency,the First Hospital of Zibo,Zibo 255200,Shandong,China |
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| Abstract: | Objective To investigate the effect and security of thrombolysis in patients with acute myocardial infarction after cardiopulmonary resuscitation(CPR).Methods 63 patients with acute myocardial infarction after successful CPR were divided into thrombolysis group(31 cases) and control group(32 cases).After successful CPR,all the patients were given conventional therapy,while the patients in thrombolysis group were given urokinase.Results Between thrombolysis group and control group,the incidence coronary arte... |
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| Keywords: | Acute myocardial infarction Cardiopulmonary resuscitation Thrombolysis |
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