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1、心肺复苏后溶栓治疗急性心肌梗死临床疗效分析屠淑敏商丘市第一人民医院急诊内科河南商丘476100【摘要】目的探讨急性心肌梗死患者心肺复苏后采用溶栓治疗的临床疗效.方法选取60例急性心肌梗死并发心跳骤停复苏成功患者，将其随机分为对照组与观察组，各30例.两组均给予冠脉扩张或抗休克、抗心律失常及脑保护等对症治疗，观察组在此基础上给予尿激酶静脉溶栓治疗，观察对比两组患者的梗死血管再通率、病死率及出血率.结果观察组患者的梗死血管再通率明显高于对照组,未见死亡病例，较对照组差异显著(P均＜0.05),从出血状况看，两组差异无统计学意义(P〉0.05).结论急性心肌梗死患者心肺复苏后应用溶栓治疗效果显著
2、,不仅能提高治疗效果，还能降低病死率与岀血率，安全有效，值得在临床上推广应用.【关键词】急性心肌梗死;心肺复苏;溶栓治疗ClinicalanalysisofacutemyocardialinfarctionthrombolytictherapyaftercardiopulmonaryresuscitationTuShumin(emergencyinternalmedicinedeptofShangqiuFirstPeople’sHospital,HenanShangqiu476100)[Abstract]objectiveOnpatientswithacutemyocardia
3、linfarctionaftercardiopulmonaryresuscitationwiththeclinicalefficacyofthrombolysistreatment.MethodsWeselected60casesofacutemyocardialinfarctioncomplicatedwithcardiacarrestresuscitationofpatients,theywererandomlydividedintocontrolgroupandobservationgroup,30casesineach-Thetwogroupsweregivencoronarydi
4、lationorantishock,antiarrhythmiaandbrainprotectionandothersymptomatictreatment,observationgroupwastreaGtedonthebasisofintravenousthrombolytictherapywithurokinase,comparativeobservationoftwogroupsofpatientswithinfarctionvascularrecanalizationrate,mortalityrateandbleedingrate.ResultInfarctioninpatie
5、ntswithvascularrecanalizationrateofobservationgroupwasobviouslyhigherthanthatofcontrolgroup,nodeathcase,comGparedwiththecontrolgrouphadsignificantdifference(P<0.05),frombleedingcondition,withnosignificantdifferencebetweentwogroups(P>0.05).ConclusionPatientswithcardiopulmonaryresuscitationinpatient
6、swithacutemyocardialinfarctionafterthrombolytictreatmentapplicationeffectisremarkable,notonlycanimprovethetheraGpeutic[Kefefyecwto,brdust]alsocanreducethemortalityrateandbleedingrate,safeandeffective,andworthyofpopularizationandapplicationinclinic.Acutemyocardialinfarction;cardiopulmonaryresuscita
7、tion;thrombolytictherapy【中图分类号】R541【文献标识码】B【文章编号】1008—6315(2015)12—0124—02急性心肌梗死(AMI)指的是在冠状动脉粥样硬化的基础上冠脉发生急性、持续性缺氧和缺血所引起的心肌坏死的系列临床表现，其属于临床常见的危重急症,严重威胁人们的身体健康[1].临床上治疗急性心肌梗死的主要方法是改善心肌供血能力，尽快恢复血液灌注，其不仅能有效控制心肌梗死的范围，还
