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目的:观察静脉溶栓对急性心肌梗死(AMI)的临床疗效和血运重建的情况。方法采用国产尿激酶150万u溶于生理盐水100ml中于30分钟内静脉滴注,监测患者胸痛缓解消失时间,溶栓前后心电图变化以及心肌坏死标记物峰值出现时间,观察溶栓后血管再通情况。结果26例判断为临床再通,开通率为70.27%,6小时内溶栓再通20例,6～12小时内溶栓再通6例。结论静脉溶栓是血运重建的一种有效手段,愈早溶栓获益愈大
Objective: To observe the clinical effect and revascularization of intravenous thrombolysis on acute myocardial infarction (AMI). Methods Domestic urokinase 1.5 million u dissolved in 100 ml of normal saline intravenously in 30 minutes to monitor the time to alleviate the disappearance of chest pain in patients with ECG changes before and after thrombolysis and myocardial necrosis markers peak time to observe the thrombolytic recanalization Happening. Results 26 cases were judged as recanalization and the rate of opening was 70.27%. Twenty cases were recanalized within 6 hours and 6 cases were recanalized within 6-12 hours. Conclusion Intravenous thrombolysis is an effective means of revascularization. The sooner the thrombolytic benefit is gained