Acute myocardial infarction in emergency department care of thrombolytic therapy.docVIP

 PAGE \* MERGEFORMAT 8 Acute myocardial infarction in emergency department care of thrombolytic therapy [Keywords:] Myocardial infarction thrombolytic therapy in emergency department care AMI, coronary thrombosis is the main reason, to restore blood flow to save the frequency of coronary occlusion cardiac death, reduce infarct size, its rapid and effective method for the early implementation of intravenous thrombolysis, in recent years has been widely used clinically. Soluble has the effect of time dependent plug, the sooner thrombolysis, infarct-related artery recanalization rate is higher. of AMI treatment guidelines require treatment to thrombolysis time of 30 minutes of work in clinical practice, there are many reasons to delay thrombolysis time, such as history taking, examination, diagnosis, transport, and other preparations for thrombolytic therapy. In order to be able to in the treatment of patients receiving thrombolytic therapy as soon as shorten the delay in onset to thrombolysis time of the process, from the emergency department of our hospital December 2005 -2010 in June on 41 patients with acute myocardial infarction thrombolysis carried out to strengthen the emergency first aid nurse awareness of AMI, master of the AMI thrombolytic therapy, and gradually standardize the procedures for emergency care, improved AMI success rate in patients with intravenous thrombolysis. 1 Data and methods 1.1 General Information The group of 41 male patients, 34 patients, 7 females, aged 28-84 years of age, infarct location: anterior in 12 cases, following anterior wall in 4 cases, 6 cases of anteroseptal, extensive anterior wall in 2 cases, 10 cases of inferior wall the other 7 cases. the time from onset to thrombolysis within 12 hours, in addition to 11 patients older than 70 years, body in good condition, considering no other solution contraindications, but are thrombolytic indications. 1.2 Methods Urokinase: (uk30 million Iu add 200ml