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目的研究急性心肌梗死的临床表现特点和治疗方法。方法将1999—2002年首都机场医院确诊的97例急性心肌梗死患者随机分为2组,其中溶栓治疗组40例,对照组57例。2组均对症治疗,溶栓治疗组加用溶栓治疗。分析总结了2组的治疗效果及症状、体征、辅助检查。结果 (1)急性心肌梗死的主要危险因素为高血压、吸烟、糖尿病;(2)2组在并发症方面无明显差异,但溶栓治疗组有更高的治愈率。结论对于无禁忌证的急性心肌梗死患者及早溶栓治疗获益更大。
Objective To study the clinical features and treatment of acute myocardial infarction. Methods Ninety-seven patients with acute myocardial infarction diagnosed at Capital Airport Hospital from 1999 to 2002 were randomly divided into two groups, 40 in the thrombolytic group and 57 in the control group. 2 groups were symptomatic treatment, thrombolytic therapy group with thrombolytic therapy. Analysis and summary of the two groups of treatment and symptoms, signs, auxiliary examination. Results (1) The main risk factors for acute myocardial infarction were hypertension, smoking and diabetes. (2) There was no significant difference in complications between the two groups, but the thrombolytic therapy group had a higher cure rate. Conclusion Early thrombolytic therapy may benefit patients with acute myocardial infarction without contraindications.