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自1993年1月至1994年12月,我院对24例发病时间在12～48小时的急性心肌梗塞(心梗)进行溶栓治疗,观察如下。 1 临床资料 急性心梗的诊断标准:①有典型的胸骨后或心前区压榨性疼痛或闷痛,持续30分钟以上,含硝酸甘油不缓解。②有特征性的动态心电图改变(QRS、ST、T改变)。③有动态心肌酶学改变。 24例中男性16例,女性8例,男女之比为2:1,年龄42～74岁,其中广泛前壁心梗(包括高侧壁)4例;广泛前壁心梗并心源性休克4例,前间壁心梗6例;前下壁梗塞6例;下壁正后壁梗塞2例;下壁、正后壁、右室壁梗塞2例。
From January 1993 to December 1994, 24 cases of acute myocardial infarction (MI) with onset of 12 to 48 hours in our hospital were treated with thrombolytic therapy. The observation was as follows. 1 Clinical data Acute myocardial infarction diagnostic criteria: ① There are typical chest or precordial press pain or nausea, for more than 30 minutes, with nitroglycerin does not ease. ② There are characteristic changes of dynamic electrocardiogram (QRS, ST, T changes). ③ dynamic myocardial enzymology changes. 24 cases of male 16, female 8 cases, male to female ratio of 2: 1, aged 42 to 74 years, including a wide range of anterior myocardial infarction (including the high side wall) in 4 cases; extensive anterior myocardial infarction and cardiogenic shock 4 cases, anterior myocardial infarction in 6 cases; anterior inferior wall infarction in 6 cases; inferior posterior wall infarction in 2 cases; inferior wall, posterior wall, right ventricular infarction in 2 cases.