Abstract
目的 探讨急性心肌梗死院前静脉溶栓的疗效与护理要点.方法实验组(20例)采用院前1 h内静脉溶栓治疗,对照组(20例)1～6 h溶栓,两组均用尿激酶静滴.结果实验组中有18例再通,再通率为90%,死亡1例;对照组中有12例再通,再通率为60%,死亡3例.两组冠脉再通率与死亡率差异均有显著意义(分别P＜0.01、P＜0.001).结论急性心肌梗死院前静脉溶栓疗效显著,安全可行,可降低并发症与病死率。
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