Different times of acute myocardial infarction thrombolytic efficacy of.docVIP

 PAGE \* MERGEFORMAT 5 Different times of acute myocardial infarction thrombolytic efficacy of Study: Fan Xiangyang Liu Shijie Wei Science [Keywords:] acute myocardial infarction, thrombolytic therapy, revascularization, different time Acute myocardial infarction (AMI patients with severe clinical disease, more complications, higher mortality rate. For patients, time is life, so different time of opening of blood vessels to the prognosis of patients with greater impact. To understand the different time of thrombolytic efficacy in patients with acute myocardial infarction effect of intravenous thrombolysis in our hospital treatment of AMI patients were retrospectively the clinical data analysis, reporting as follows. 1 Subjects and methods 1 1 object selected in June 2001 ~ March 2004 in our hospital and the AMI patients receiving thrombolytic therapy in this study. Inclusion criteria: (1 are in line with clinical symptoms of acute myocardial infarction, and by ECG and / or enzyme diagnosis was acute myocardial infarction. (2 are thrombolytic indications. A total of 59 patients enrolled, including 49 males and 10 females, aged 35 a ~ 76 a. Early thrombolysis (onset to thrombolysis lt; 3 h31 cases, in the late thrombolysis group (onset to thrombolysis in 3 h ~ 12 h28 cases. two groups of gender, age, infarct location was no significant difference. 1 2 Methods 1 2 1 treatment groups were given 1.5 million U of urokinase plus homemade 100 ml normal saline intravenously completed within 30 min. Admitted that oral administration of aspirin 300 mg, after 300 mg d-1, 1 w later reduced to 50 mg ~ 150 mg d-1. other conventional treatment according to AMI. 1 2 2 observed indicators were observed in patients with revascularization (indirect indicators of clinical judgments, pump failure (heart failure, cardiogenic shock, severe ventricular arrhythmia (Lown above ventricular premature beats and atrial fibrillation and mortality rates. count