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溶栓疗法在心肺复苏患者中的应用体会

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目的::探讨溶栓疗法在心肺复苏患者中的临床治疗效果。方法:对我院收治的80例心肺复苏患者相关资料进行综合性回顾性分析,根据患者不同治疗方案将其分为对照组和实验组,对照组实施常规治疗,实验组实施溶栓疗法治疗,比较两组治疗效果。结果:实验组自主循环恢复率为90%,24h生存率为60%,13例治疗后康复出院,神经功能恢复率为47.5%,高于对照组(P<0.05);两组患者治疗前血清相关指标差异不显著(P>0.05);实验组治疗后AST指标为(65.2±14.7)、LDH指标为(227±16.8)、CK指标为(418.8±34.6)、CK- MB指标为(88.1±14.8),均低于对照组(P<0.05)。结论:心脏骤停患者多数由急性心肌梗死引起,患者治疗过程中采用溶栓疗法效果理想,能够提高临床疗效,值得推广使用。
Objective: To investigate the clinical effect of thrombolytic therapy in patients with cardiopulmonary resuscitation. Methods:80 cases of cardiopulmonary resuscitation in patients with relevant information in our hospital to undertake a comprehensive retrospective analysis, based on patients with different treatment options will be divided into a control group and the experimental group and the control group, the implementation of conventional therapy, the implementation of thrombolytic therapy in the experimental group, therapeutic effects were compared.Results:The experimental group restoration of spontaneous circulation was 90%, 24h survival rate was 60%, 13 cases recovered and were discharged after treatment, neurological recovery rate was 47.5%, higher than the control (P<0.05);two groups of patients before treatment serum related indicators were no significant differences (P>0.05);experimental group therapy AST indicators (65.2 ± 14.7), LDH index is (227 ± 16.8), CK indicators (418.8 ± 34.6), CK- MB indicators (88.1 ± 14.8), were lower than in the control group (P<0.05).Conclusions:Most patients with cardiac arrest caused by acute myocardial infarction, treatment of patients with thrombolytic therapy using the results are satisfactory, can improve the clinical efficacy and should be intro-duced.

thrombolytic therapycardiopulmonary resuscitationtreatment effect

唐运城

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湖北省十堰市太和医院 442000

溶栓疗法 心肺复苏 治疗效果

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(10)
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