[1]陆志刚,魏盟,潘静薇,等.不同救治手段对急性心肌梗死转归的影响[J].介入放射学杂志,2007,(09):630.
　LU Zhi-gang,WEI Meng,PAN Jing-wei,et al.The effects of different remedies on acute myocardial infarction[J].journal interventional radiology,2007,(09):630.
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不同救治手段对急性心肌梗死转归的影响()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2007年09期
页码:
630
栏目:
临床研究
出版日期:
2007-09-15

文章信息/Info

Title:
The effects of different remedies on acute myocardial infarction
作者:
陆志刚; 魏盟; 潘静薇; 等
２００２３３上海交通大学附属第六人民医院心内科（陆志刚、魏盟、潘静薇、马士新、杭靖宇、魏钧伯）；上海金山区中心医院（柯军、潘力健）；上海奉贤区中心医院（樊寿根、薛昭平）
Author(s):
LU Zhi-gang; WEI Meng; PAN Jing-wei; MA Shi-xin; HANG Jing-yu; WEI Jun-bo; KE Jun; PAN Li-jian; PAN Shou-gen; XUE Zhao-ping．
Department of Cardiology，Shanghai６th People's Hospital，Shanghai Jiaotong University，Shanghai２００２３３，China
关键词:
急性心肌梗死; 直接冠脉成形术; 冠脉成形术; 溶栓
分类号:
R５４１.４
文献标志码:
B
摘要:
目的对比分析１２h内来院的急性心肌梗死（AMI）患者采用溶栓，直接冠脉成形术和转院后急诊冠脉成形术治疗方法对AMI患者预后的影响。方法将２００４年１月－２００５年１２月来院的AMI１２h内患者采取连续入组的方式分为溶栓治疗组（３２例）和直接冠脉成形术治疗组（６３例），以及外院转院于１２h内行急诊冠脉成形术治疗组（２５例），比较３组患者在院期间和出院后１年转归的差别。结果与直接冠脉成形术和转院后急诊冠脉成形术相比，溶栓组到院至再通时间间隔最短，分别平均为（１．１±０．２）h、（２．３±１．０）h和（２．１±１．１）h，（P＜０．０１），病死率（分别为６．３％、３．２％和４．０％）和１年后病死率（分别为１２．５％、４．８％和８．０％）均未达统计学意义，溶栓组非致死性再梗死的发生率显著高于PCI组（分别为１８．８％和４．５％，P＜０．０５）。结论AMI的救治关键是尽早开通罪犯血管，转院治疗也是较为安全有效的治疗方式

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期：２００７-０５-０９
更新日期/Last Update: 2007-09-15