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对 AMI 患者在急诊抢救室内施以基本疗法的同时,静点尿激酶50至150万单位,并每日两次皮下注射肝素钙各7500单位,口服阿司匹林20至10毫克。结果120例中抢救成功111例(92.5%),死亡9例(7.5%)。发病后3小时以内开始溶栓者38例,冠脉再通者36例(75%),发病3小时以上出现异常 Q 波但仍有 R 波溶栓者32例,其中梗塞导联 R 波仍存、面积未扩展者23例(71.9%),其余9例无效。作者认为,溶栓愈早效果愈佳。
AMI patients in the emergency rescue room indoors with basic therapy, the point of urokinase 50 to 150 million units, and twice daily subcutaneous heparin calcium 7500 units, oral administration of aspirin 20 to 10 mg. Results Of 120 cases, 111 cases were successfully salvaged (92.5%) and 9 died (7.5%). 38 cases started thrombolysis within 3 hours after onset, 36 cases (75%) with coronary recanalization, abnormal Q wave appeared more than 3 hours after onset, but there were still 32 cases with R wave thrombolysis, of which R wave was still There were 23 cases (71.9%) with unexpanded area and the remaining 9 cases were invalid. The authors believe that the earlier the effect of thrombolytic better.