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ID:11570985
大小:37.00 KB
页数:3页
时间:2018-07-12
《急性心肌梗塞心肺复苏后溶栓治疗》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、急性心肌梗塞心肺复苏后溶栓治疗 【摘要】 目的 探讨急性心肌梗塞心肺复苏后溶栓治疗的可行性、必要性及预后。方法 急性心肌梗塞并发心脏骤停的患者22例。治疗组13例,心肺复苏后即刻静脉予尿激酶120~200万U、链激酶150万U或rt-PA50mg溶栓治疗,部分行冠状动脉造影检查。对照组9例,在心肺复苏后予除溶栓外的积极抢救治疗。结果 治疗组13例中11例复苏后溶栓再通,占84.6。住院死亡3例(20.1%)。9例随访3.3±1.5(1~6)年,3例死亡。对照组心肺复苏48小时后无一例存活。两组急救存活率有显著性差异(P<0.001)。结论 在没有
2、条件实行急诊血管重建的医院,急性心肌梗塞心肺复苏后溶栓治疗能明显提高其住院存活率。 【关键词】 急性心肌梗塞 心肺复苏 溶栓治疗ThrombolytictreatmentofacutemyocardialinfarctionfollowingcardiopulmonaryresuscitationBaiShugong,LiZhizhong,LiLi(InstituteofBeijingHeart,LungandBloodVesselDisease,AnZhenHospital,Beijing100029)【Abstract】 Objectiv
3、e Toevaluatefeasibility,necessity,prognosisofthrombolytictreatmentfollowingcardiopulmonaryresuscitationofthepatientswithacutemyocardialinfarction.Methods Twentytwopatientswithacutemyocardialinfarctioncomplicatedwithcardiacarrestweredividedinto2groups,onereceivingintravenousthr
4、ombolytictreatmentandtheotherwascontrolgroup.Inthethrombolyticgrouptherewere13patients.Theyweretreatedwithintravenouslyurokinase1.2~2.0millionUorstreptokinase1.5millionUorrecombinanttissue-typeplasminaogenactivator50mgrightaftercardiopulmonaryresuscitationandperformedcoronarya
5、rteriographiesandfolloweduptoevaluateefficiencyandprognosis.9patientsactedascontrols,theyweregivengeneraltreatmentsexceptfromthrombolysisaftercardiopulmonaryresuscitation.Results Therewereelevenrecanalizationsduetothrombolysisaftercardiopulmonaryresuscitation(86.4%)inthromboly
6、ticgroup.In-hopsitalmortalitywas20.08%(3of13patients),ninepatientswerefollowedupfor3.30±1.50(range1~6)years,3casesdied.Nopatientsurvivedin48hoursaftercardiopulmonaryresuscitationincontrolgroup.Therewassignificantlystatisticaldifferenceinsurvivalratebetweentwogroups(P<0.001).Co
7、nclusions ThrombolytictreatmentcanimprovethesurvivalrateforpatientswithAMIfollowingcardiopulmonaryresuscitationin,especiallyinthosehospitalswithoutconditionperformingemergencyrevascularization. 【Keywords】 Acutemyocardialinfarction CardiopulmonaryresuscitationThrombolyticther
8、ap 既往心肺复苏是急性心肌梗塞(acutemyocardialinfarction,AMI)患者溶栓治疗的禁忌症,但近
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