院前溶栓对ST段抬高型急性心肌梗死的急诊治疗效果观察

目的探讨院前ST段抬高型急性心肌梗死急诊治疗措施的疗效。方法选择142例ST段抬高型急性心肌梗死患者，分别行溶栓、经皮冠状动脉介入（PCI）、急诊冠脉旁路移植术治疗。结果接受院前溶栓治疗20例，PCI治疗86例，院前溶栓联合急诊PCI手术32例，急诊冠脉旁路移植术4例，1年内生存率分别为94．7％、98．8％、96．8％、100．0％。结论院前进行ST段抬高型急性心肌梗死的诊断有助于降低血管再通时间，利于进行院内治疗，提高患者的心功能和生存率。

Observation the effect of Pre hospital thrombolysis on the emergency treatment measures in treatment of ST segment elevation acute myocardial infarction

Objective To explore curative effect of emergency treatment measures on ST segment elevation acute myocardial infarction. Methods A total of 142 cases of acute ST segment elevation myocardial infarction were received the thrombolytic therapy, percutaneous coronary intervention （PCI） , emergency coronary artery bypass graft- ing treatment. Results A total of 20 cases were received pre hospital thrombolysis, percutaneous coronary interven- tion （PCI） therapy in 86 cases,32 cases of pre hospital thrombolysis combined with emergency PCI operation,4 cases of emergency coronary artery bypass graft surgery. The one year survival rates were 94. 7% , 98. 8% , 96. 8% , 100. 0% ,respectively. Conclusion The prehospital diagnosis of acute myocardial infarction with ST segment eleva- tion is helpful for reducing recanalization time, and initialing the hospital treatment, so as to effectively simprove cardi- ac function and postoperative survival rate, which is worthy of clinical reference.