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本文以穿壁性前壁心肌梗塞伴左心室室壁瘤(经核素造影证实)的患者为研究对象,观察早期溶栓对高危心(肌)梗(塞)患者(包括存在自发性和电刺激诱发室性心律失常的患者)的电生理效应。方法:除外造影时有心源性休克、陈旧性前壁心梗、合并其他晚期疾患或80岁以上的患者。A组(16例)由于溶栓反指证或起病超过5小时等原因,除常规治疗外,给予皮下肝素治疗,多数未服阿司匹林。B组(16例)于胸痛6小时内开始溶栓治疗(链激酶150万~u静注或2500Ou冠脉注射,随后每分钟静滴4000~u,或复合组织型纤溶酶原激活剂100mg静脉注射)。以后3～5天静脉注射肝素,并阿司匹林口服。
In this study, patients with anterior wall myocardial infarction with left ventricular aneurysm (confirmed by radionuclide imaging) were studied. Early thrombolysis was observed in patients with high risk cardiac muscle (MI), including those with spontaneous and electrical Stimulation of patients with induced ventricular arrhythmias). Methods: Exclusion of cardiogenic shock, anterior anterior myocardial infarction, combined with other advanced disease or patients over the age of 80. In group A (16 cases), subcutaneous heparin was given to the patients undergoing anti-cardiothrombolysis or the onset of more than 5 hours. Most patients were not treated with aspirin. Group B (16 cases) began thrombolysis within 6 hours after chest pain (streptomycin 1.5 million intravenous injection or 2500Ou coronary injection, followed by intravenous infusion of 4000 ~ u per minute, or composite tissue plasminogen activator 100mg Intravenous injection). After 3 to 5 days after intravenous injection of heparin, and aspirin orally.