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急性心肌梗塞(AMI)早期溶栓治疗已广泛应用于临床,其良好的疗效已被公认。我科采用国产尿激梅静脉内溶栓治疗AMI24例,取得满意效果,现报道如下。临床资料和方法一、病例选择:24例AMI病人中,男19例,女5例。年龄37～77岁,平均56.2岁。均符合下列标准:(1)临床症状典型,持续胸痛超过30分钟,含硝酸甘油片症状不能缓解;(2)心电图相邻2个或更多导联ST段抬高>0.2mV;(3)发病时间<24小时;(4)无溶栓禁忌证。24例AMI病人中有广泛前壁7例,前间壁2例,前壁2例,下壁8例,高侧壁1例,前间壁加下壁4例。其中发病至溶栓时间<2小时者6例,2～4小时5例,4～8小时4例,8～16例小时3例,16～24小时6例。
Acute myocardial infarction (AMI) early thrombolytic therapy has been widely used in clinical, its good effect has been recognized. In our department, 24 cases of intravenous thrombolytic therapy with intravenous uroliths were used to treat AMI. Satisfactory results were obtained and the results are reported as follows. Clinical data and methods A case selection: 24 AMI patients, 19 males and 5 females. Age 37 ~ 77 years old, average 56.2 years old. (2) ST segment elevation> 0.2 mV in 2 or more leads of electrocardiogram; (3) ST-segment elevation of> Incidence of <24 hours; (4) no thrombolytic contraindications. Among the 24 AMI patients, there were 7 cases of extensive anterior wall, 2 anterior wall, 2 anterior wall, 8 inferior wall, 1 high lateral wall and 4 anterior wall plus inferior wall. Including onset to thrombolysis time <2 hours in 6 cases, 2 to 4 hours in 5 cases, 4 to 8 hours in 4 cases, 8 to 16 cases in 3 cases, 16 to 24 hours in 6 cases.