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我们对48例AMI的病人进行溶栓治疗,用国产尿激酶(UK)2.2万IU/kg加入100ml葡萄糖液内静点,12h后皮下注射肝素7500u,每12h一次,用3~5日,滴尿激酶前口服肠溶阿斯匹林0.3,以后0.3/日,3~5日后改为50~150mg/日维持,至出院。对其疗效评价,结果显示,发病至溶栓时间6h内者再通率明显高于6h以上者(P<0.01)尿激酶剂量大,溶栓的效果好,不良反应轻,便于不能开展经皮冠脉内直接溶栓的基层医院的临床应用。
48 patients with AMI thrombolytic therapy, with domestic urokinase (UK) 22000 IU / kg added 100ml glucose intravenous injection, 12h after subcutaneous injection of heparin 7500u, once every 12h, with 3 to 5 days , Drip urokinase before oral administration of aspirin 0.3, after 0.3 / day, 3 to 5 days later changed to 50 ~ 150mg / day to discharge. The efficacy evaluation, the results showed that the incidence to the thrombolytic time within 6h recanalization rate was significantly higher than 6h (P <0.01), a large dose of urokinase, thrombolytic effect is good, mild adverse reactions, can not carry out Clinical application of percutaneous coronary thrombolysis in primary hospitals.