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我院收治发病12～24小时的急性心肌梗塞(AMI)患者,采取溶栓治疗收到良好效果,现报告如下.1 资料与方法1.1 资料:12例均符合1997年WHO关于AMI诊断标准,其中男9例、女3例;年龄41～70岁,平均56岁.心肌梗塞部位计:广泛前壁3例(并发心源性休克1例),下壁加正后壁2例,前间壁4例,前间壁加下壁1例及前壁加高侧壁2例.所有患者均有不同程度胸骨后或心前区持续疼痛,ST段抬高导联逐渐增加者2例,均无溶栓禁忌症.1.2 方法:采用国产尿激酶100～150万单位加生理盐水150
In our hospital admitted to patients with onset of acute myocardial infarction (AMI) 12 to 24 hours, the thrombolytic therapy received good results are reported as follows.1 Materials and Methods 1.1 Data: 12 cases are in line with the 1997 WHO diagnostic criteria for AMI, in which 9 males and 3 females, aged 41 to 70 years old, average 56 years old.Mental infarction site: extensive anterior wall in 3 cases (complicated by cardiogenic shock in 1 case), lower wall plus positive posterior wall in 2 cases, anterior wall 4 For example, there was 1 case of anterior inferior wall plus inferior wall and 2 cases of anterior wall plus high side wall.All the patients had varying degrees of post-sternal or anterior pituitary pain, 2 cases of progressive elevation of ST segment elevation without thrombolysis Contraindications .1.2 Methods: Domestic urokinase 100 to 150 million units plus saline 150