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年龄本身并非是排除溶栓疗法的充足理由,尤其是鉴于老年人住院病死率高,有些研究发现老年人急性心肌梗死(AMI)溶栓疗法相对安全。本文报告1例110岁老年人的溶栓治疗。男患,110岁。因后壁AMI住入冠心病监护病房,这之前生活正常,70岁后开始吸烟。患者出现不稳定型心绞痛第3天,因发生严重胸痛后3小时住院。入院时出汗,血压为18.65/10.66kPa,脉搏75次/分,除听到第4心音奔马律外体检正常。心电图示Ⅱ、Ⅲ、aVF、V3R′及V5、V6的ST段抬高,胸
Age alone is not a sufficient excuse to rule out thrombolytic therapy, especially given the high inpatient mortality rates in the elderly and some studies found relatively safe thrombolytic therapy in elderly patients with acute myocardial infarction (AMI). This article reports a 110-year-old thrombolytic therapy. Male suffering, 110 years old. AMI was admitted to the coronary care unit because of the posterior wall, which was normal before the age of 70 and started smoking. Patients with unstable angina on day 3 were hospitalized 3 hours after the onset of severe chest pain. Sweating on admission, blood pressure was 18.65 / 10.66kPa, pulse 75 beats / min, in addition to hearing the fourth heartbeat run outside the normal inspection. ECG showed Ⅱ, Ⅲ, aVF, V3R ’and V5, V6 ST segment elevation, chest