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目的:探讨急诊科心肌梗塞的临床救治要点.方法:选取我院心肌梗塞急诊患者共60例,依照随机分组法平均分为治疗组与对照组,治疗组予以静脉溶栓救治,对照组予以一般性救治,对比两组患者救治效果.结果:治疗组患者血管再通率为70.00%,心功能Ⅰ级83.33%、Ⅱ~Ⅳ级16.67%,病死率3.33%,本组患者病死率明显低于对照组(P <0.05),血管再通及心功能改善状况亦明显优于对照组(P <0.05).结论:静脉溶栓治疗下的心肌梗塞急诊能有效改善患者心功能、促进血管再通、降低病死率,综合效果良好.“,”Objective: To investigate the clinical treatment of acute myocardial infarction in emergency department. Methods: myocardial infarction in emergency patients with a total of 60 cases, were randomly divided into treatment group and control group, treatment group received intravenous thrombolytic treatment, control group were given general treatment. Results: the mortality rate in the treatment group was significantly lower than the control group (P ﹤ 0.05), vascular recanalization and improvement of heart function was better than that of the control group (P ﹤ 0.05). Conclusion: the comprehensive effect of intravenous thrombolysis in myocardial infarction of the good.