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为提高急性心肌梗塞的抢救成功率,60年代以来常用阿托品治疗心肌梗塞并发的心动过缓和低血压,但近年来有的作者对其疗效提出不同的看法。为探讨阿托品在急性心肌梗塞治疗中的应用问题,特将有关资料简要综述之。一、阿托品对急性心肌梗塞的疗效在急性心肌梗塞早期,常易发生自主神经平衡失调,而以迷走神经功能增强较多见,表现为窦性心动过缓或伴有房室传导阻滞和暂时性低血压。有人认为〔1〕,心动过缓和低血压可使心排血量减少,冠
To improve the success rate of rescue of acute myocardial infarction, atropine commonly used since the 1960s to treat myocardial infarction complicated by bradycardia and hypotension, but in recent years, some authors put forward different views on their efficacy. In order to explore the application of atropine in the treatment of acute myocardial infarction, especially a brief summary of the relevant information. First, the efficacy of atropine on acute myocardial infarction in the early stages of acute myocardial infarction, often prone to autonomic nervous imbalance, and to enhance vagal function more common, manifested as sinus bradycardia or with atrioventricular block and temporary Hypotension. Some people think 〔1〕, bradycardia and hypotension can reduce cardiac output, crown