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溶栓疗法,目前在许多医院已广泛开展,通过溶栓使AMI患者在6小时内冠脉血栓溶解,恢复再通,尽早恢复心肌血供,挽救濒死的心肌。我院1989年10月开始静脉溶栓疗法,并获得较佳效果。临床实践证明:溶栓时间愈早疗效愈佳,心源性休克早期病人亦可进行溶栓治疗。 1 资料与方法 21例AMI患者,男13例,女8例。年龄34～84岁,平均年龄60.4岁。21例梗塞部位如下:下壁4例,下壁+右室1例,前间壁广泛前壁4例,高侧壁2例前壁5例,下壁+正后壁1例。诊断标准:(1)凡是AMI发作3～6小时内。(2)相邻两个或更多导联ST段抬高>0.2mv或下壁导联>0.1mv,含硝酸甘油片
Thrombolytic therapy, which has been widely carried out in many hospitals at present, dissolves coronary artery thrombosis in patients with AMI within 6 hours through thrombolysis, restores recanalization, and resumes myocardial blood supply as early as possible to save the dying myocardium. Our hospital started in October 1989 intravenous thrombolytic therapy, and obtain better results. Clinical practice shows that: the earlier the effect of thrombolytic therapy, the better cardiopulmonary seizure patients may also be thrombolytic therapy. 1 Materials and Methods 21 cases of AMI patients, 13 males and 8 females. Age 34 to 84 years old, average age 60.4 years old. 21 cases of infarction were as follows: 4 cases of inferior wall, 1 case of inferior wall + right ventricle, 4 cases of anteroseptal extensive anterior wall, 5 cases of anterior wall in 2 cases of high lateral wall and 1 case of inferior wall + posterior wall. Diagnostic criteria: (1) any AMI episodes within 3 to 6 hours. (2) adjacent two or more lead ST segment elevation> 0.2mv or lower wall lead> 0.1mv, containing nitroglycerin tablets