小剂量rt-PA溶栓治疗高龄急性心肌梗死患者临床研究
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【摘要】目的研究应用小剂量rt-PA溶栓治疗年龄在75岁以上的高龄急性心肌梗死患者的临床效果。方法选择2009年1~7月笔者所在医院收治的39例高龄急性心肌梗死患者，将其分成溶栓组和未溶栓组，经小剂量rt-PA溶栓治疗23例患者为溶栓组，没有经溶栓治疗16例患者为未溶栓组，比较两组治疗效果。结果溶栓组，心力衰竭3例，有效19例，死亡1例，总有效率为82.6%；未溶栓组，心力衰竭9例，有效6例，死亡1例，总有效率为37.5%。两组总有效率比较差异有统计学意义(P<0.05)。结论小剂量rt-PA溶栓治疗高龄急性心肌梗死能减少心力衰竭的发生，能有效降低病死率，且预后良好。
【关键词】高龄；急性心肌梗死；溶拴疗法
Clinical research small dose of rt-PA age fibrinolytic therapy in patients with acute myocardial infarction LIU Tong.The Third Peoples Hospital of Changde City,Changde 415728,China
【Abstract】ObjectiveTo study the application of small dose of rt-PA fibrinolytic therapy at the age of 75 years old age of the patients with acute myocardial infarction of the clinical effect.MethodsChoosing from January 2009 to July 2009 were our age 39 cases with acute myocardial infarction patients, divided into thrombolysis group and not thrombolysis of two groups,the small dose of rt-PA fibrinolytic therapy 23 patients for thrombolysis group,not the fibrinolytic therapy in 16 patients for not thrombolysis group, compared with two groups therapeutic effect ......
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