论文部分内容阅读
目的 :观察高龄急性心肌梗塞 (AMI)患者尿激酶溶栓治疗的疗效。方法 :采用尿激酶 10 0万U加入5 %葡萄糖液体 10 0ml静点 3 0min。结果 :发病在 6h以内的高龄AMI病人溶栓再通率为 66 7% ,溶栓组及未溶栓组病死率分别为 13 3 % ,3 0 4% ,相差 17 1%。结论 :对发病在 6h以内无溶栓禁忌证高龄AMI患者 10 0万U尿激酶静点 3 0min是安全有效剂量 ,应在严密观察下积极采用。
Objective: To observe the effect of urokinase thrombolysis in elderly patients with acute myocardial infarction (AMI). Methods: Urokinase 10 million U added 5% glucose solution 10ml static point 30min. Results: The recanalization rate of thrombolytic therapy was 66.7% in elderly patients with AMI within 6 hours. The mortality of thrombolysis group and no thrombolysis group was 13.3% and 34.0% respectively, a difference of 17.1%. CONCLUSIONS: The 10-minute Urokinase 30 min in the AMI patients with no contraindication of thrombolysis is a safe and effective dose within 6h, and should be actively used under close observation.