Acute myocardial infarction after cardiopulmonary resuscitation in 14 cases of early thrombolysis.docVIP

 PAGE \* MERGEFORMAT 6 Acute myocardial infarction after cardiopulmonary resuscitation in 14 cases of early thrombolysis [Keywords] Early cardiopulmonary resuscitation in acute myocardial infarction thrombolysis Ventricular fibrillation (VF) in acute myocardial infarction (AMI) early mortality, often occurs within 2 h after the onset [1,2], after cardiopulmonary resuscitation (CPR) after the success of the AMI patients as soon as possible whether the security to thrombolysis, now this is still controversial. Analysis 2002 - 2009 14 cases of AMI patients after thrombolysis CPR success stories, reported as follows. 1 Materials and Methods 1.1 General Information 14 patients 12 males, 2 females, aged 36 to 68 years, doctor after sudden cardiac arrest, loss of consciousness, arterial pulse disappeared, ECG shows: ventricular fibrillation wave. 1.2 Diagnosis and treatment CPR before and after the ECG has been a clear diagnosis of AMI, 14 patients were in the emergency room implementation of the rescue, sequential or simultaneous primary CPR and oxygen, establishment of intravenous access, ECG monitoring, fluid support. Vasoactive drugs .14 patients CPR before and after the ECG in the diagnosis of AMI, infarct location: anterior wide, 3 cases of inferior wall in 4 cases, 4 cases of anterior, anteroseptal in 1 case, compound wall in 2 cases. 1.3 Thrombolysis Thrombolysis from onset (125 + -63) min, thrombolytic drugs: urokinase dose of 100 to 200 million U, 1.5 million U 12 cases, 2 million U 1 case, 1 million U 1 patients before thrombolysis 4 patients (28.5%), blood pressure ≤ 90/60 mm Hg (1 mm Hg = 0.133 kPa), both intravenous thrombolysis, 12 patients in the thrombolysis within 2 h of ST-segment elevation were back downgt; 50% 10 cases of chest pain significantly reduced or disappeared, the serum CK MB peak lt;14 h 11 cases (78.5%), peakgt; 14 h 3 例 (21.5%), 2 h reperfusion arrhythmia occur within: ventricular fibrillation in 3 cases, th