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急性心肌梗塞(AMI)时,早期溶栓治疗以缩小梗塞面积,改善左室功能,降低死亡率已被公认。但对70岁以上老年人是否适用则有争议。本文对我院1991年用中等剂量尿激酶治疗70岁以上老年人AM13例,效果满意,现报告如下。 1 临床资料 1.1 对象 本组中男2例,女1例;70～71岁2例,80岁1例;急性下壁心肌梗塞3例。采用尿激酶10万u静脉推注,20万u静脉滴注,翌日20万u滴注,第3日用肝素25mg。腹壁皮下注射,每日1次,连用
Acute myocardial infarction (AMI), early thrombolytic therapy to reduce infarct size, improve left ventricular function, reduce mortality has been recognized. However, it is controversial for the applicability of the elderly over the age of 70. This article in our hospital in 1991 with a medium dose of urokinase in elderly patients over the age of 70 AM13 cases, the results are satisfactory, are as follows. 1 Clinical data 1.1 Object The group of 2 males and 1 females; 70 to 71 years in 2 cases, 80 years in 1 case; acute inferior myocardial infarction in 3 cases. Urokinase 100,000 intravenous injection, 200,000 u intravenous drip, the next day 200,000 u drip, the third day with heparin 25mg. Subcutaneous abdominal injection, 1 day, with