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冠状动脉造影显示,早期急性心肌梗塞患者几乎都有冠状动脉内血栓形成。近年来冠状动脉内灌注链激酶作溶栓治疗获得成功者日益增多。1981年7月到1984年8月间,作者收集了35个实验室进行冠状动脉内链激酶治疗的资料,将心肌再灌注成功者和失败者的临床和血流动力学特征作了对照分析。方法:资料中应包括:既往心肌梗塞、心力衰竭及心脏手术史;导管术前有否胸痛,曾否做过电复律或主动脉内气囊反搏治疗。血流动力学状态分为稳定、低血压(收缩压<90mmHg)和心源性休克.另二类为肺水肿(无休克)及濒死者。在总数1,029例中剔除再灌注效果不明者18例后,根据心电图及心
Coronary angiography showed that almost all patients with early acute myocardial infarction had coronary thrombosis. In recent years, coronary artery perfusion streptokinase for thrombolytic therapy to obtain more and more successful. Between July 1981 and August 1984, the authors collected data from 35 laboratories for coronary artery streptokinase and compared the clinical and hemodynamic characteristics of patients with and without myocardial reperfusion. Methods: The data should include: previous myocardial infarction, heart failure and history of cardiac surgery; catheter before chest pain, whether the cardioversion or intra-aortic balloon pump therapy. Hemodynamic status is divided into stable, hypotensive (systolic blood pressure <90mmHg) and cardiogenic shock. The other two categories of pulmonary edema (no shock) and dying. In a total of 1,029 cases, 18 cases of unknown reperfusion were excluded according to the ECG and heart