论文部分内容阅读
急性心肌梗塞(AMI)早期溶栓治疗6小时以内疗效较佳,生存率明显提高,但对AMI晚期12小时以上的溶栓治疗报道较少.我院对5例发病时间在16～43小时的AMI晚期患者,进行溶栓抗凝治疗取得良效,现将疗效观察报告如下.1 资料与方法5例患者均符合1979年修订的“冠心病诊断”参考标准.AMI的诊断标准:①有典型的胸骨后或心前区压榨性疼痛或闷痛,持续30分钟以上,含服硝酸甘油不缓解.②有特征性的动态心电图改变(QRS、ST、T波改变).③有动态心肌酶学改变.5例AMI均为男性,年龄为40～67岁,发病时间16～43小时.其中前侧壁梗塞合并急性心功能不全1例,广泛前壁梗塞2例(其中1例合并有心源性休克、心
Early thrombolytic therapy of acute myocardial infarction (AMI) within 6 hours of better efficacy, survival rate was significantly improved, but more than 12 hours of AMI late thrombolytic therapy is reported less than 5 cases of our hospital onset time of 16 to 43 hours AMI patients with advanced, thrombolytic anticoagulation achieved good results, the efficacy of the report are as follows now .1 Materials and Methods 5 patients were in line with the 1979 revision of “coronary heart disease diagnosis” reference standard.AMI diagnostic criteria: ① There are typical Of the sternum or anterior region of the press pain or nausea, sustained for more than 30 minutes, containing nitroglycerin does not alleviate. ② There are characteristic changes of dynamic electrocardiogram (QRS, ST, T wave changes.) ③ dynamic myocardial enzyme 5 cases of AMI were male, aged 40 to 67 years old, the onset time of 16 to 43 hours.Among them, anterior infarction complicated by acute heart failure in 1 case, extensive anterior infarction in 2 cases (1 case with cardiogenic Shock, heart