On the drug treatment of acute myocardial infarction.docVIP

 PAGE \* MERGEFORMAT 4 On the drug treatment of acute myocardial infarction Study: Summary of Zhanglin Li, Zhang Jinsong, per week in [Keywords:] Acute myocardial infarction Acute myocardial infarction (AMI is acute myocardial necrosis, is usually the direct cause of coronary atherosclerosis based on the secondary lumen thrombosis, blood vessels continued to spasm, so that completely blocked coronary artery, leading to rapid blood reduction or interruption, such as the continuing serious than the corresponding myocardial ischemic tolerance threshold, myocardial apoptosis and necrosis occur irreversible process, timely diagnosis is the basis for correct treatment. The treatment principles are: the protection and maintenance of heart function to save the dying heart, prevent infarct expansion, narrowing the scope of myocardial ischemia, timely detection and management of arrhythmias, pump failure, the maintenance of hemodynamic stability, as soon as possible reperfusion therapy to reduce myocardial oxygen consumption. A general treatment 1.1 bed rest, oxygen, continuous ECG, blood pressure and respiratory monitoring, establishment of intravenous access, immediate ASA 300mg Juefu, calm, semi-liquid diet, maintain smooth stool. 1.2 analgesia morphine 3mg iv, 10 ~ 15min after repeated total 15mg, whose role is to analgesic and anti-myocardial ischemia. 2 reperfusion therapy Acute coronary occlusion can then pass, save the ischemic myocardium, reduced infarct size, protection of heart function, effectively relieve pain and prevent ventricular dilation and remodeling to prevent heart failure, reduce hospital mortality and improve long-term prognosis. Observed when thrombolytic item 2.1 (1 per 1 15 ~ 20min asked to see whether the chest pain and reduce the degree of ease, look carefully at whether the bleeding, (2 thrombolytic therapy before and after 3h 30min in each ECG tracings, and (3 time enzymes and blood coagulation monitoring items.