本文观察了18例急性心肌梗死院前快速溶栓的临床疗效。结果显示:在心肌梗死急性期,越早尿激酶静脉溶栓,冠状动脉再通率愈高,院前救治溶栓时机明显优于院后溶栓,可最大限度地挽救缺血而濒临坏死的心肌,缩小梗塞面积,改善左室功能,降低病死率,减少并发症,改善患者预后。 This article observed 18 cases of acute myocardial infarction in prehospital rapid thrombolytic clinical efficacy. The results showed that in the acute phase of myocardial infarction, the earlier the urokinase intravenous thrombolysis, the higher the rate of coronary recanalization, the pre-hospital timing of thrombolytic therapy was significantly better than the hospital after thrombolysis, can save the ischemic and on the verge of necrosis Myocardium, reduce infarct size, improve left ventricular function, reduce mortality, reduce complications and improve patient prognosis.