【摘要】 目的探讨补救性静脉溶栓对行急诊经皮冠状动脉介入术失败的病人的疗效及安全性。方法急性心肌梗死行急诊经皮冠状动脉介入术失败病人8例,立即给予50 mg重组组织型纤溶酶原激活物行静脉补救性溶栓治疗。结果 8例病人中有6例在溶栓后(2．6±0．8)h出现再灌注,实现临床再通。临床再通与造影显示再通完全符合。结论对于行急诊经皮冠状动脉介入术未能及时开通罪犯血管的病人,可以行重组组织型纤溶酶原激活物静脉补救性溶栓治疗,疗效确切。更多还原

【Abstract】 Objectives To investigate the effects and the safety of rescue thrombolysis after the failure of primary percutaneous coronary intervention (PCI). Metheds 8 patients were received rescue thrombolysis with 50 mg rt-PA after the failure of primary PCI immediately. The effects and the safety of rescue thrombolysis were observed. Results 6 patients attained successful reperfution at (2.6 ±0.8)hours after rescue thrombolysis. Success rate was 75%. Conclusions It is effective and safe for the patients to be received rescue thrombolysis after the failure of primary PCI.更多还原