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目的阐述急性心肌梗死的溶栓治疗,并进行效果分析。方法将2008年1月至2009年12月住院的64例急性心肌梗死患者随机分为尿激酶静脉溶栓治疗组和硝酸甘油常规治疗组,比较两组血管再通率和再梗死率。结果尿激酶静脉溶栓治疗6h内的溶栓效果和再通明显高于对照组但6～12h的再通率以及再梗死率与对照组没有差异。结论激酶静脉溶栓治疗在急性发病6h内早期迅速治疗,对于溶栓效果和血管再通有良好的效果。
Objective To describe the thrombolytic therapy of acute myocardial infarction and analyze its effect. Methods 64 patients with acute myocardial infarction hospitalized from January 2008 to December 2009 were randomly divided into routine thrombolytic therapy with urokinase and conventional nitroglycerin treatment group. The rates of recanalization and reinfarction were compared between the two groups. Results Intravenous thrombolytic therapy of urokinase in 6h thrombolytic effect and recanalization was significantly higher than the control group, but 6 ~ 12h recanalization rate and reinfarction rate and the control group no difference. Conclusions Kinase intravenous thrombolytic therapy in the early onset of acute onset within 6h rapid treatment for thrombolytic effect and recanalization have a good effect.