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为探讨陈旧性脑卒中患者急性心肌梗死溶栓治疗的疗效及安全性，进行急性心肌梗死静脉溶栓治疗324例，对其中有陈旧脑卒中史者17例进行研究分析，结果：①血管开通率：脑卒中组64．71％（11／17），对照组67．65％（207／306）（P＞0．05）；③轻度出血率：脑卒中组22．22％（4／17），对照组15．03％（46／306）（P＞0．05）；③出血性脑卒中的发生率：脑卒中组0（0／17），对照组0．33％（1／306）（P＞0．05）；④住院5周病死率：脑卒中组5．88％（1／17），对照组6．21％（19／306）（P＞0．05）。结论：有陈旧性脑卒中病史的急性心肌梗死患者进行静脉溶栓疗效是肯定而安全的。
In order to explore the curative effect and safety of thrombolysis in patients with old stroke after acute myocardial infarction, 324 patients with acute myocardial infarction treated by intravenous thrombolysis and 17 patients with history of old stroke were studied and analyzed. Results: : 64.71% (11/17) in the stroke group and 67.65% (207/306) in the control group (P> 0.05); ③ mild bleeding rate was 22.22% in the stroke group (4/17 ), Control group 15.03% (46/306) (P> 0.05). The incidence of hemorrhagic stroke was 0 (0/17) in stroke group and 0.33% (1/306) in control group (P> 0.05). The 5-week hospital mortality rate was 5.88% (1/17) in the stroke group and 6.21% (19/306) in the control group (P> 0.05). CONCLUSION: Intravenous thrombolysis in patients with AMI who have a history of old strokes is both positive and safe.