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本文报道了8年中急救的老年急性心肌梗塞患者127例,其发病时间均在24h内。心梗两个部位以上者53例。并发心源性休克13例,急性左心衰12例,室性心律失常34例,室颤4例,室上性心律失常7例,传导阻滞16例,并发症发生率67.7％。尽早应用硝酸甘油和利多卡因并实施心肺复苏抢救措施,125例病情平稳而转入病房,仅2例在急诊室死亡。结果表明,硝酸甘油适宜于老年AMI患者急救时选用,而利多卡因尽早应用,就可使之成为防治室性心律失常的救命药。
This article reports 127 cases of acute first-aid acute myocardial infarction in 8 years, the onset time are within 24h. 53 cases of myocardial infarction in more than two parts. 13 cases were complicated with cardiogenic shock, 12 cases of acute left heart failure, 34 cases of ventricular arrhythmia, 4 cases of ventricular fibrillation, 7 cases of supraventricular arrhythmias, 16 cases of conduction block and the complication rate of 67.7%. As soon as possible, nitroglycerin and lidocaine were administered and cardiopulmonary resuscitation (CPR) rescue measures were implemented. Of the 125 patients who were admitted to the ward for stable condition, only 2 died in the emergency room. The results show that nitroglycerin is suitable for the elderly patients with AMI emergency use, and early application of lidocaine, it can become a lifesaver to prevent ventricular arrhythmias.