| 尿激酶静脉溶栓治疗急性心肌梗死68例疗效观察 |
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| 引用本文： | 许勤华. 尿激酶静脉溶栓治疗急性心肌梗死68例疗效观察[J]. 河南医药信息, 2010, 0(20): 72-73,77 |
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| 作者姓名： | 许勤华 |
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| 作者单位： | 河南省南阳市中心医院急救中心,南阳市473009 |
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| 摘 要： | 目的观察尿激酶（UK）静脉溶栓治疗急性心肌梗死的疗效。方法选择急诊急性心肌梗死患者132例,随机分为治疗组68例和对照组64例,治疗组给尿激酶溶栓治疗,而对照组给予常规治疗。用药后观察两组患者血管再通情况和病死率以及并发症发生情况。结果治疗组总的血管再通率高于对照组（P〈0.01）;治疗4周后,对照组的病死率、急性肺水肿和心源性休克发生率高于治疗组（P〈0.01）。结论尿激酶静脉溶栓疗效可靠、安全、使用方便、不良反应发生率低且轻微,适合基层医院对AMI的抢救。
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| 关 键 词： | 急性心肌梗死 静脉溶栓 急诊 疗效 |
Intravenous Thrombolytic Therapy in Acute Myocardial Infarction 68 Cases |
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| XU Qinhua. Intravenous Thrombolytic Therapy in Acute Myocardial Infarction 68 Cases[J]. Henan Medical Information, 2010, 0(20): 72-73,77 |
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| Authors: | XU Qinhua |
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| Affiliation: | XU Qinhua Nanyang City Center Hospital, Nanyang 473000, China |
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| Abstract: | Objective To observe the urokinase（UK） thrombolytic therapy in acute myo-cardial infarction.Methods Patients with acute myocardial infarction 132 cases,were randomly di-vided into treatment group 68 cases and control group 64 cases,the treatment group was given intrave-nous thrombolytic therapy and the control group received conventional therapy.Patients were observed after administration of vascular recanalization and mortality and complications.Results The total re-vascularization rate was higher（P 〈0.01）;4 weeks after treatment,the mortality in control group,a-cute pulmonary edema and cardiogenic shock was higher than in the treatment group（P 〈 0.01）.Conclusion The efficacy of intravenous thrombolysis with urokinase is reliable,safe,convenient,and low incidence of minor side effects,suitable for the primary hospital AMI rescue |
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| Keywords: | Acute myocardial infarction Intravenous thrombolysis Emergency Effect |
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