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静脉溶栓疗法治疗急性心肌梗塞已逐步开展,因其快速、简便,可推广至基层医院。但限于条件,冠脉再通的判断往往只能根据症状缓解和溶栓过程中心电图的演变来间接推断。我院自1988年1月—1991年7月收治急性心肌梗塞患者46例,现对静脉溶栓治疗的20例溶栓过程中ECG的演变作一总结,并与其余26例非溶栓治疗患者进行对比分析。对象和方法溶栓组20例,其中男性14例,女性6例,年龄46—70(平均58)岁。梗塞部位:前间壁10例,广泛前壁3例,下壁7例。
Intravenous thrombolytic therapy for acute myocardial infarction has been gradually carried out, because of its rapid, simple and can be extended to primary hospitals. However, due to the limited conditions, the judgment of coronary recanalization can only be indirectly deduced based on the symptom relief and the evolution of ECG during thrombolysis. 46 cases of acute myocardial infarction were treated in our hospital from January 1988 to July 1991, and the evolvement of ECG in 20 cases of thrombolytic therapy by intravenous thrombolysis is summarized. Compared with the remaining 26 cases without thrombolysis For comparative analysis. Subjects and Methods Thrombolytic group of 20 patients, including 14 males and 6 females, aged 46-70 (average 58) years. Infarction site: 10 cases of anterior wall, extensive anterior wall in 3 cases, 7 cases of the inferior wall.