绿色通道急性心肌梗死急诊静脉溶栓  

Application of“Green channel”for thrombolysis for acute myocardial infarction in emergency room

作　　者：赵晓东[1] 彭国球[1] 何忠杰[1] 孟海东[1] 党伟[1] 张宪[1] 罗北捷[2] 黄党生[2] 沈东[2] 张许文[2] 张春红[2] 

机构地区：[1]解放军总医院304临床部急救部,100037 [2]解放军总医院304临床部心内科,北京100037

出　　处：《感染．炎症．修复》2004年第4期162-164,共3页Infection Inflammation Repair

摘　　要：目的:评价我院2002年8月至2004年9月急诊收治的急性心肌梗死患者开展急诊绿色通道急诊静脉溶栓治疗的临床疗效。方法:48例患者随机选择尿激酶、重组组织型纤溶酶原激活剂、重组链激酶给予急性心肌梗死静脉溶栓治疗。结果:尿激酶再通率83.33%(30/36),重组组织型纤溶酶原激活剂再通率88.89%(7/8),重组链激酶再通率66.67%(2/3),无1例出血、过敏并发症,1例死亡。结论:对急性心肌梗死患者,开展急诊绿色通道静脉溶栓治疗,在急诊溶栓准备时间仅用了21±8min,比以往溶栓提前2～6h,减少院内溶栓前时间延误,提高了静脉溶栓的再通率,是提高 AMI 救治成功率的关键环节。Objective:To evaluate the value of establishment of“green channel”for emergent thrombolysis for a- cute myocardial infarction (AMI) in the emergency department of 304th hospital from December 2002 through June 2004.Methods:48 patients suffering from AMI treated with thrombolysis drugs were randomly divided into three groups according to the drug used:urokinase (UK),streptokinase (SK) and a-tPA.Results:In UK group recanalization rate was 83.33% (30/36),recanalization rate after a-tPA was 88.89%(7/8),recanalization rate after SK was 66.67%(2/3).Conclusions:With the establishment of“green channel”in the emergent department mean thrombolysis time was shortened from 2 to 6 hours to 21±8min,and recanalization rate was significantly improved.

关 键 词：急性心肌梗死 溶栓 

分 类 号：R54[医药卫生—心血管疾病]