许冬梅

[摘要] 目的 探讨急诊科收治的心肌梗死患者采用静脉药物溶栓和经皮冠状动脉介入治疗术两种方式后的临床治疗效果，并对心肌梗死的临床治疗起到指导作用。 方法 择取该院急诊科于2013年6月—2014年5月收治的56例心肌梗死患者，按不同的急诊方式将这些患者分为人数相同的治疗组与参照组两组，分别行以PCI介入术与静脉药物溶栓两种治疗方法，并对临床效果进行观察和分析。 结果 通过对临床效果的观察发现，治疗组全部治愈，总有效率可以达到100%，参照组的28例患者有7例无效，总有效率为75.0%，差异有统计学意义（P<0.05）。 结论 PCI介入术的疗效比静脉药物溶栓方法的疗效更佳显著，急诊科进行心肌梗死治疗时应选择PCI介入术。

[关键词] 急诊；心肌梗死；临床诊治

[中图分类号] R3 [文献标识码] A [文章编号] 1674-0742（2015）06（a）-0032-02

Clinical Analysis of Treatment for 56 Cases of Emergency Patients with Myocardial Infarction

XU Dong-mei

Emergency Department， the People's Hospital of Shangzhi City，Shangzhi， Heilongjiang Province， 150000 China

[Abstract] Objective To investigate clinical therapeutic effect of thrombolysis therapy and percutaneous coronary artery interventional therapy in the treatment of patients with myocardial infarction in Emergency Department and provide guidance for its treatment. Methods The emergency department of our hospital from 2013 June to 2014 May， selected from 56 cases of patients with myocardial infarction， according to different emergency way these patients were divided into the same number of two groups， respectively for interventional treatment for two patients with the method of thrombolysis with PCI， and the clinical effects were observed and analyzed. Results Through the observation on the clinical effect of discovery， the total efficiency of the treatment group can reach 100%， the reference group total effectiveness is 75%， the difference of P < 0.05， with statistical significance； in the respect such as hospitalization time， complications and mortality rate of patients with recurrent rate， PCI group is much lower than the reference group of thrombolysis the difference， （P < 0.05）， with statistical significance. Conclusion The curative effect of PCI intervention efficacy is obviously better than that of thrombolysis method， the emergency department for treatment of myocardial infarction should choose PCI intervention.

[Key words] Emergency； Myocardial infarction； Clinical diagnosis

心肌梗死是一种致死率极高的突发式疾病，其发病原因是动脉阻塞造成心肌缺血从而使得脏器坏死。目前治疗心肌梗死的方法主要有PCI介入术与静脉药物溶栓两种。为探讨急诊科收治的心肌梗死患者采用静脉药物溶栓和经皮冠状动脉介入治疗术两种方式后的临床治疗效果，2013年6月—2014年5月间择取该院急诊科收治的56例心肌梗死患者，通过行以以上两种治疗方式，进行治疗效果的对比，现报道如下。

1 资料与方法

1.1 一般资料

整群择取该院急诊科于收治的56例心肌梗死患者，男性31例，女性25例，年龄34～79岁，平均年龄（56.3±1.4）岁。全部患者均达到美国心脏病协会发布的心肌梗死标准，即连续半小时以上感到胸痛；发病6～12 h内心肌缺血；心肌酶曲线变化不正常；心电图呈现出ST短升高现象[1]。……