急性心肌梗塞治疗的进展.pptVIP

急性心肌梗塞治疗的进展 急性心肌梗塞治疗的进展 心肌梗塞治疗的关键： 迅速、完全、持续 开通梗塞相关血管 一、再灌注治疗 THROMBOLYTIC THERAPY Rationale - atherosclerotic plaque rupture; - thrombus formation; - total or subtotal occlusion; - slow spontaneous lysis; - fibrinolysis ISIS-2试验 急性心肌梗塞治疗的进展 Thrombolytic therapy well documented benefit from thrombolytic therapy ? ISIS ? GUSTO ? GISSI ? SAMI-ECSG ? TAMI ? WWICST ? ASSET ? APSAC ? AMIS ? EMIP FTT试验年龄相关溶栓与死亡率的关系 THROMBOLYTI