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作者观察53例急性心肌缺血早期应用链激酶静注的疗效。男性49例,女性4例。年龄37～76(平均55)岁。前壁梗塞28例,下壁梗塞25例。9例在家接受流动监护组治疗,余44例收入院。全部病人均有典型胸痛,经含服5mg 消心痛及10mg 心痛定无效。心电图至少2个导联 J 点后 ST 段升高0.2mV 以上,持续0.08sec,且伴有对应导联改变。治疗方法是先推注500mg 氢化可的松,随后以75万 U 链激酶加入5%葡萄糖液50ml 在20～30min 内滴完,接着滴注肝素(3万 U/d)、口服消心痛(10mg,每日4次)及心痛定(10mg,每日4次)。24小时
The authors observed 53 cases of acute myocardial ischemia early application of streptokinase intravenous effect. 49 males and 4 females. Age 37 ~ 76 (average 55) years old. 28 cases of anterior infarction, 25 cases of inferior wall infarction. Nine patients received mobile care group at home treatment, more than 44 cases of income homes. All patients have a typical chest pain, abercrombie and fitch deutschland, abercrombie and fitch deutschland, abercrombie france ECG at least two leads after J point ST segment increased more than 0.2mV for 0.08sec, and with the corresponding lead change. Treatment is first bolus 500mg hydrocortisone, followed by 750,000 U streptokinase 5ml glucose solution 50ml dripping completed within 20 ~ 30min, followed by infusion of heparin (30000 U / d), oral constriction of pain (10mg , 4 times daily) and nifedipine (10mg, 4 times a day). 24 hours