冠状动脉造影评估国产尿激酶静脉溶栓治疗AMI疗效分析Intravenous thrombolysis using china-made urokinase with coronary angiographic evaluation in AMI patients
钱学贤,刘映峰,傅向阳,陈爱华,李志梁,叶文胜,赵霞,陆东风,李绍骥
摘要(Abstract):
本文对41例经静脉溶栓后的患者,于溶栓开始后90分钟行急诊冠状动脉造影检查,旨在探讨国产尿激酶(天普-洛欣)的血管再通率,并观察各项临床再通指标与冠状动脉造影的符合率。结果发现,国产尿激酶(天普洛欣)静脉溶栓冠脉开通率为75.6%。判断梗塞血管再通的无创指标中以心肌酶峰值前移最为准确,其次为心电图ST段下移,胸痛缓解及再灌注的心律失常不能作为判断再通的独立指标。
关键词(KeyWords): 心肌梗塞;静脉溶栓;冠脉造影
基金项目(Foundation):
作者(Author): 钱学贤,刘映峰,傅向阳,陈爱华,李志梁,叶文胜,赵霞,陆东风,李绍骥
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