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近年来的研究发现,部不稳定型心绞痛(UA)病人与急性心肌梗塞(AMI)有着相似的发病机制,因此UA病人的溶栓治疗已引起极大关注。本文观察了静滴硝酸甘油过程中仍有心绞痛的18例UA病人应用尿激酶治疗的效果。 1 对象与方法 1.1 病例选择 18例均符合1979年WHO推荐的UA诊断标准,其中男15例,女3例,年龄50～74岁。初发劳累性合并自发性心绞痛1例,恶化劳累性合并自发性心绞痛15例,梗塞后心绞痛2例。 1.2 治疗方法除给予扩冠、抗血小板聚集药、抗凝血酶药及选择性给予β受体阻滞药之外,均常规给予含镁极化液(10%葡萄糖250ml+25%硫酸镁10ml+10%氯化钾
Recent studies have found that patients with unstable angina (UA) and acute myocardial infarction (AMI) have a similar pathogenesis, so the thrombolytic therapy of UA patients has caused great concern. This article investigates the effect of urokinase treatment in 18 UA patients with angina still intravenous nitroglycerin. 1 Subjects and methods 1.1 Case Selection 18 cases are in line with the 1979 WHO recommended UA diagnostic criteria, including 15 males and 3 females, aged 50 to 74 years. First onset of fatigue complicated by spontaneous angina in 1 case, worsening of fatigue associated with spontaneous angina in 15 cases, 2 cases of post-infarction angina. 1.2 Treatment Except given crown expansion, anti-platelet aggregation drug, antithrombin drug and selective administration of β-blockers were routinely given magnesium-containing polarization solution (10% glucose 250ml + 25% magnesium sulfate 10ml + 10% potassium chloride