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我们自1992年应用尿激酶静脉溶栓治急性心肌梗塞(AMI),现将完整病历30例报告如下。 1 临床资料 1.1 病例选择 胸痛持续>30min,经含服硝酸甘油症状不能缓解,至少2个相邻导联ST段抬高>1mv。年龄<560岁。起病6h内到达病房,无使用溶栓药物禁忌证。个别患者到达病房时间超过6h,但胸痈持续存在,ST段抬高,并残留R波,其他条件具备者也列入治疗对象。AMI 30例:男20例,女10例,年龄42～60岁。梗塞部位:前壁12例,前间壁8例,广泛前壁8例,下壁加后壁2例。
We since 1992, urokinase intravenous thrombolytic therapy of acute myocardial infarction (AMI), now a complete medical record of 30 cases are reported below. 1 Clinical data 1.1 Case Selection Chest pain sustained> 30min, the symptoms can not be relieved by the inclusion of nitroglycerin, ST segment elevation of at least two adjacent leads> 1mv. <560 years old. Arrived wards 6h onset, no use of thrombolytic drugs contraindications. Individual patients arrived in the ward more than 6h, but the chest continued to exist, ST elevation, and residual R wave, other conditions are also included in the treatment of patients. AMI 30 cases: 20 males and 10 females, aged 42 to 60 years. Infarct sites: anterior wall in 12 cases, anterior wall in 8 cases, extensive anterior wall in 8 cases, plus wall in 2 cases.