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急性心肌梗塞(AMI)及不稳定型心绞痛(UAP)时,缓解胸痛很重要。本文观察小剂量肝素治疗AMI及UAP胸痛的效果,同时对血浆β-内啡肽(β-End)水平的变化做初步观察。 资料与方法 一、一般资料:1.AMI组:1985年1月至1993年5月我科共收治AMI378例,均根据心电图动态演变,心肌酶改变而确诊。入院后常规给硝酸甘油、钙通道阻滞剂、复方丹参、β-阻滞剂、转换酶抑制剂治疗,符合以下情况者纳入肝素治疗组:(1)经常规治疗1~3天胸痛仍不能满意控制。(2)梗塞后2~3天仍需用麻醉性止痛药。(3)常规治疗1周以上仍有
Acute myocardial infarction (AMI) and unstable angina (UAP), relieve chest pain is very important. This article observed the effect of low-dose heparin in the treatment of AMI and UAP chest pain, while the changes of plasma β-endorphin (β-End) level to make a preliminary observation. Materials and Methods First, the general information: 1.AMI group: January 1985 to May 1993, our department received a total of AMI378 cases, are based on the dynamic evolution of ECG, myocardial enzyme changes and confirmed. After admission to the conventional nitroglycerin, calcium channel blockers, compound Salvia, β-blockers, conversion enzyme inhibitors treatment, in line with the following cases were included in the heparin group: (1) conventional treatment of 1 to 3 days chest pain still can not Satisfactory control. (2) 2 to 3 days after infarction still need to use narcotic painkillers. (3) conventional treatment is still more than 1 week