Primary hospital early thrombolysis in acute myocardial infarction in 35 cases of non-observation of.doc

 PAGE \* MERGEFORMAT 9 Primary hospital early thrombolysis in acute myocardial infarction in 35 cases of non-observation of [Abstract] Objective: To investigate the acute myocardial infarction (MI) Non-feasibility of early thrombolysis. Methods: To review our hospital from 2001 to 2005 more than 12 h treated in hospital for more than 52 cases of acute myocardial infarction, divided into treatment group and the control group were compared efficacy. Results: The treatment group 35 cases, coronary reperfusion rate of 28.5% ~ 48%, mortality 8.5%, with the control group, 17 cases of 2 h remission rate of 0, mortality 23%, the difference was significant. Conclusion: The primary hospital thrombolytic contraindications of strict control of the same time, there are persistent ischemic chest pain with ST-segment elevation myocardial infarction in patients with thrombolytic treatment time can be extended to 12 h or more. [Keywords:] primary hospital; acute myocardial infarction; non-early thrombolytic therapy; Clinical Observation Acute myocardial infarction (hereinafter referred to as MI) thrombolytic therapy, after 30 years of clinical practice can confirm patency of coronary occlusion, myocardial reperfusion to be the verge of the survival of myocardial necrosis, reduced infarct size, favorable myocardial remodeling after infarction, reduce the mortality. Recently recognized as the greatest to play the role of thrombolytic therapy time is less than 6 h after the onset, this is prime time to save the dying heart muscle, but the clinical practice shows that within 6 h after onset was taken to hospital, through the examination clearly myocardial infarction diagnosis; through the various tests can rule out contraindications, etc. Several people; especially the primary hospital is almost difficult to achieve. 4 years treated in our hospital in 52 cases of myocardial infarction, in order to confirm the diagnosis into the wards are over the 12 h treated above, the cond