2016急诊治疗要点.pptVIP

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* May be useful in STEMI patients with short ischemic times and large clot burdens DEBATER研究 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 阿昔单抗组及对照组30天靶血管重建失败(TVF)发生率 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 阿昔单抗组及对照组1年MACE发生率 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. AMI患者于急救车或基层医院诊断并给予 ASA + 600 mg 氯吡格雷 +静脉肝素 Angiogram 替罗非班* 安慰剂 转运 PCI center Angiogram Tirofiban provisional Tirofiban cont’d ON-TIME -2 N=984 6/2006-11/2007 PCI *Bolus: 25 μg/kg 0.15 μg/kg/min infusion Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. PCI术前后ST段回落情况 Ongoing Tirofiban In Myocardial Infarction Evaluation 14.3±9.1 12.1±9.4 5.9±8.1 4.8±6.3 14.5±9.1 10.9±9.2 4.4±5.3 3.3±4.3 0.002 0.022 0.028 p=0.84 [mm] 随机时 造影前 术后60分钟 术后90分钟 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 30天无事件生存率 Ongoing Tirofiban In Myocardial Infarction Evaluation P = 0.013 74.0% 66.7% Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 1 年无事件生存率 P = 0.007 open label double-blind, n = 1.155 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. * It is reasonable to start treatment with glycoprotein IIb/IIIa receptor antagonists at the time of primary PCI (with or without stenting) in selected patients with STEMI: abciximab tirofiban and eptifibatide Use of Glycoprotein IIb/IIIa Receptor Antagonists in STEMI I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa

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