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目的:探讨急性心肌梗死的诊断和治疗方法。方法:回顾分析我院收治的急性心肌梗死患者的临床资料,均符合WHO关于急性心肌梗死诊断标准,入院后,立即给予心电图检查,给予吸氧、心电监护,迅速建立静脉通道,进行除颤准备。先给予口服阿司匹林300mg,静脉滴注150万U尿激酶,进行溶栓,再给予肝素100mg静脉滴注,每6小时检测凝血活酶时间,使用杜冷丁或者硝酸甘油解除患者疼痛,并对患者进行对症治疗。结果:70例急性心肌梗死患者经过治疗,平均溶栓时间(1.2±0.8)h,平均治疗时间(7.1±3.2)d,血管再通率为95.7%。本组患者治愈44例(62.86%),好转24例(34.29%),恶化或死亡2例(2.86%),总有效率97.14%。结论:治疗急性心肌梗死要及时诊断,尽快溶栓,降低患者死亡率,尿激酶静脉溶栓简单易行、经济有效,值得临床广泛应用。
Objective: To investigate the diagnosis and treatment of acute myocardial infarction. Methods: Retrospective analysis of clinical data of patients with acute myocardial infarction admitted to our hospital, are in line with the WHO diagnostic criteria for acute myocardial infarction, immediately after admission ECG, given oxygen, ECG monitoring, rapid establishment of venous access, defibrillation ready. First given oral aspirin 300mg, 1.5 million U of intravenous infusion of urokinase for thrombolysis, and then given intravenous infusion of heparin 100mg every 6 hours to detect thromboplastin time, the use of pethidine or nitroglycerin to relieve pain and patients Symptomatic treatment. Results: Seventy patients with acute myocardial infarction were treated. The mean thrombolysis time was 1.2 ± 0.8 h, the average treatment time was 7.1 ± 3.2 d, and the rate of recanalization was 95.7%. The patients were cured in 44 cases (62.86%), improved in 24 cases (34.29%), worsening or death in 2 cases (2.86%), the total effective rate was 97.14%. Conclusion: The treatment of acute myocardial infarction should be promptly diagnosed, thrombolysis as soon as possible to reduce the mortality of patients with urokinase thrombolytic simple and cost-effective, it is widely used in clinical.