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[院前阶段心肌梗死溶栓治疗的临床应用]

[The clinical aspects of using thrombolytic therapy in myocardial infarct at the prehospital stage].

作者信息

Staroverov I I, Dundua D P, Plotnikov A N, Pomerantsev E V, Bliumental' A A, Puchkov A T, Ovasapian Iu A, Serov V P, Ruda M Ia

出版信息

Kardiologiia. 1993;33(3):28-32.

PMID:8377336
Abstract

The examination of 80 patients with acute myocardial infarction has revealed that prehospital thrombolytic therapy (TT) allows it to be initiated significantly earlier by 2.9 hours, resulting in coronary reperfusion and ensuring more complete blood flow recovery than hospital therapy. The natural history of the disease is also more favourable when TT is used in the prehospital period. It is concluded that with strict observance of indications and contraindications, TT used by an emergency team in the prehospital period is no more dangerous than in the hospital period.

摘要

对80例急性心肌梗死患者的检查显示,院前溶栓治疗(TT)可使治疗开始时间显著提前2.9小时,从而实现冠状动脉再灌注,并确保比院内治疗更完全地恢复血流。在院前阶段使用TT时,疾病的自然病程也更有利。得出的结论是,在严格遵守适应证和禁忌证的情况下,急救团队在院前阶段使用TT并不比在院内阶段更危险。

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