Elderly patients with acute myocardial infarction in intravenous thrombolytic therapy in clinical nursing.docVIP
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Elderly patients with acute myocardial infarction in intravenous thrombolytic therapy in clinical nursing
PAGE \* MERGEFORMAT 8
Elderly patients with acute myocardial infarction in intravenous thrombolytic therapy in clinical nursing
[Keywords:] elderly patients with acute myocardial Terrier
Myocardial infarction refers to the supply of myocardial segments of a reduction in coronary blood flow caused by the corresponding rapid-irreversible ischemic myocardial injury. As China gradually into the old society, elderly patients with acute myocardial infarction in the rising incidence. Intravenous thrombolytic therapy of myocardial reperfusion as a clinical primary means of pairs of clinical care with the higher requirements. Now I Hospital Cardiology October 2005 ~ June 2007 intravenous thrombolytic therapy in myocardial infarction in the elderly Clinical Nursing reported as follows.
1 Data and methods
1.1 General Information choice of Cardiology in our hospital in October 2005 ~ June 2007 intravenous thrombolytic therapy in elderly patients with myocardial infarction in 72 cases. Were male and 40 cases, female 32 cases, with an average age (66.2 ± 3.6) years of age, AMI diagnosis in line with China in 2001 ‘in acute myocardial infarction diagnosis and treatment guidelines’ [1] (hereinafter referred to as guidelines) set standards, sustained chest painamp;gt; 30 min , 12-lead ECG in two or more adjacent ST-segment elevationamp;gt; 0.1 mV, troponin T, I, and (or) elevated myocardial enzymes. With at least 60 years of age for the elderly.
1.2 thrombolytic therapy in patients with intravenous thrombolysis approach in line with the indications specified in these guidelines, urokinase-u in the 1.5 million within a 30 min intravenous drip. The same time, routine use of aspirin, ACEI, β -blockers and lipid-lowering agent.
1.3 Results 72 patients after intravenous thrombolytic therapy and positive with the care, the 65 patients discharged from the success of thrombolytic therapy, 8 cases of failed thrombolysis in patients with three cases of hospital-line switch to h
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