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作者前瞻性研究溶栓治疗后左室血栓的发生率。连续114例急性心梗病人在发病后2.1±0.8小时接受治疗。溶栓治疗方案为:头6小时内给予rt-PA 120mg,同时给予肝素5000IU(随后每 24小时连续给予25000IU,至少5天),每天服用阿司匹林250mg。入院后1～8天接受超声心动图检查。本组中,前壁心梗76例(A组),下壁心便68例(B组)。在心动超声图检查,2例前壁心便和2例下壁心梗的病人死亡,均未形
The prospective study of thrombolytic therapy after the incidence of left ventricular thrombosis. A total of 114 acute myocardial infarction patients were treated 2.1 ± 0.8 hours after onset. The thrombolytic regimen consisted of rt-PA 120 mg given in the first 6 hours and heparin 5000 IU administered concurrently (followed by 25 000 IU continuously for 24 hours, for at least 5 days) and aspirin 250 mg daily. Echocardiography was performed 1 to 8 days after admission. In this group, 76 cases of anterior myocardial infarction (A group), 68 cases of inferior wall heartburn (B group). In the echocardiographic examination, 2 cases of anterior wall of the heart and 2 cases of inferior myocardial infarction patients died, no shape