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[急性心肌梗死的直接经皮冠状动脉腔内血管成形术还是溶栓治疗?]

[Primary PTCA or thrombolysis in acute myocardial infarction?].

作者信息

Bräutigam M, Grip L, Hartford M, Karlsson T, Svensson L, Herlitz J

机构信息

Kardiologdivisionen, Sahlgrenska Universitetssjukhuset, Göteborg.

出版信息

Lakartidningen. 2001 Aug 8;98(32-33):3392-5.

PMID:11526656
Abstract

In acute ST-elevation infarction two different reperfusion strategies--thrombolytic medication and acute coronary angiography--have proved to improve the prognosis. The clinical course for patients with ST-elevation infarction is described in relation to whether they received thrombolytic medication or underwent acute coronary angiography with the aim of mechanical revascularization. The one-year mortality was high (20 percent) regardless of treatment strategy. In terms of morbidity there were no clear differences between the two treatment groups.

摘要

在急性ST段抬高型心肌梗死中,两种不同的再灌注策略——溶栓药物治疗和急性冠状动脉造影——已被证明可改善预后。根据ST段抬高型心肌梗死患者是否接受溶栓药物治疗或接受旨在进行机械血运重建的急性冠状动脉造影,描述了其临床病程。无论采用何种治疗策略,一年死亡率都很高(20%)。在发病率方面,两个治疗组之间没有明显差异。

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