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冠状动脉血栓形成是冠心病急性心肌梗塞(AMI)的主要原因之一.我院从1990年起对15例AMI病人进行了尿激酶静脉溶栓治疗,并设对照组进行比较,报告如下.1 临床资料1.1 AMI的诊断标准①剧烈持续心前区疼痛30分钟以上;②含化硝酸盐类药物心前区疼痛不能缓解;③心电图出现超急期T波高耸或相应定位导联S—T段抬高>0.1mV;④心肌酶学:磷酸肌酸激酶(CPK)、谷草转氨酶(GOT)、乳酸脱氢酶(LDH)升高.溶栓治疗时,主要强调对AMI的早期诊断,故上述条件中以前3条为重要.
Coronary thrombosis is one of the main causes of acute myocardial infarction (AMI) in patients with coronary heart disease.Our hospital from 1990 on 15 cases of AMI patients underwent urokinase intravenous thrombolysis, and the control group were compared, the report is as follows.1 Clinical data 1.1 The diagnostic criteria of AMI ① Severe sustained anterior precordial pain more than 30 minutes; ② containing nitrates drugs precordial pain can not be alleviated; ③ ECG T-wave hyperacute phase or the corresponding lead S-T segment Elevated> 0.1mV; ④ myocardial enzyme: creatine phosphokinase (CPK), aspartate aminotransferase (GOT), lactate dehydrogenase (LDH) increased thrombolytic therapy, the main emphasis on the early diagnosis of AMI, the above The first three conditions are important.