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近年来,国内外颇多文献报告溶栓治疗急性心肌梗塞(AMI)。我院1988年以来,对11例AMI患者采用短程小剂量尿激酶(UK)溶栓治疗,取得较好效果,而且无出血并发症。临床资料溶栓组11例,对照组14例,均系1988～1990年入院,发病在6小时以内,查无出血性疾病的AMI病人。溶栓组男10例,女1例,平均年龄56.9±8.7岁。对照组男6例,女8例,平均年龄62.07±6.2岁。溶栓方法采用0.9％生理盐水20ml+UK4万U,5分钟内静注后,续点0.9％生理盐水250ml+UK12万 U,2～4ml/min滴入。20分钟后再以0.9％生理盐水20ml+UK4万U静注1～2次,总量16～24万U,总疗程1～2小时。其他治疗措施同对照组,如吸氧、镇痛、扩冠、极化镁液静滴、阿
In recent years, many literatures at home and abroad report thrombolytic therapy of acute myocardial infarction (AMI). Our hospital since 1988, 11 cases of AMI patients with short-term low-dose urokinase (UK) thrombolysis, and achieved good results, and no bleeding complications. Clinical data Thrombolytic group of 11 cases, 14 cases of control group, all from 1988 to 1990 admitted to the hospital, the incidence of less than 6 hours, no hemorrhagic disease AMI patients. Thrombolytic group of 10 males and 1 female, with an average age of 56.9 ± 8.7 years. Control group, 6 males and 8 females, with an average age of 62.07 ± 6.2 years. Thrombolysis method using 0.9% saline 20ml + UK4 Wan U, 5 minutes after intravenous injection, continued point 0.9% saline 250ml + UK12 million U, 2 ~ 4ml / min infusion. After 20 minutes and 0.9% saline 20ml + UK4 million U intravenously 1 or 2 times, a total of 16 to 240,000 U, the total course of treatment of 1 to 2 hours. Other treatment with the control group, such as oxygen, analgesia, crown expansion, intravenous magnesium fluid, a