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48例急性心肌梗死溶栓抢救治疗体会 被引量:14

48例急性心肌梗死溶栓抢救治疗体会
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摘要 目的探讨急诊抢救急性心肌梗死的抢救对策。方法回顾性分析2003~2008年我院确诊的急性心肌梗死且符合溶栓条件的48例患者的临床资料。所有患者给予尿激酶100~150万U,加生理盐水100ml静滴,30min内滴完进行溶栓治疗。结果 48例患者中34例血栓溶解,14例未溶解。26例痊愈,12例好转;4例恶化;6例死亡。结论早期溶栓是心肌梗死抢救成功的关键,防治并发症、保护濒死心肌是抢救心肌梗死的必要措施。 Objective To investigate the treatment of acute myocardial infarction in emergency rescue measures.Methods A retrospective analysis from 2003 to 2008 in our hospital diagnosed with acute myocardial infarction and in accordance with the conditions of thrombolytic clinical data of 48 patients.All patients received 100 to 1.5 million urokinase U,plus intravenous infusion of normal saline 100ml,30min thrombolysis completed within the droplets.Results 48 patients,34 cases of thrombolysis,14 patients did not dissolve.26 cases recovered,12 cases improved;four cases of deterioration;6 deaths.Conclusion Early thrombolysis is the key to successful treatment of myocardial infarction,prevention of complications of myocardial protection of the dying is a necessary measure to rescue myocardial infarction.
出处 《当代医学》 2010年第16期94-95,共2页 Contemporary Medicine
关键词 急诊 急性心肌梗死 尿激酶 Emergency treatment Acute myocardial infarction Urokinase
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  • 1徐济民.缺血性心脏病诊断的命名及标准-国际心脏病学会和协会/世界卫生组织临床命名标准化专题组的联合报告.国际心血管病杂志,1979,(06):31-33.
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