【摘要】 目的 研究急性心肌梗死(AMI)溶栓治疗的近期临床疗效。方法 320例AMI患者中240例进行溶栓治疗，80例未溶栓治疗。分为再通组、未通组、未溶栓组，比较组间近期临床预后的差异。结果 再通组近期临床预后明显好于未通组，而未通组与未溶栓组比较，临床预后略好，但差异无显著性。结论 溶栓治疗是AMI的首选治疗方法。

    【关键词】 急性心肌梗死；溶栓；再通；预后

    Clinical effectiveness of thrombolysis in AMI

    WU Chang-wei.

    The Second People's Hospital of Huaian,Huaian 223002,China

    【Abstract】 Objective To investigate the short-term clinical effectiveness of thrombolysis in acute myocardial infarction(AMI). Methods In the total of 320 patients, 240 underwent thrombolysis, 80 were not given thrombolysis. These patients were divided into three groups: recanalization group, non-recanalization group and non-thrombolysis group. A comparison was made in the short-term clinical prognosis among the groups.Results The prognosis of recanalization group was obviously better than non-recanalization group, and the latter is slightly better than non-thrombolysis group. The differences were not statistically significant. Conclusion Thrombolysis is the first choice in the treatment of AMI. ......