倍他乐克注射液治疗急性心肌梗死疗效观察.docVIP

倍他乐克注射液治疗急性心肌梗死疗效观察【摘要】 目的 探讨静脉注射倍他乐克治疗急性心肌梗死的有效性及安全性。方法 33例急性心肌梗死患者，排除严重低血压、 严重心动过缓、Ⅲ度房室传导阻滞及心源性休克情况，予3支倍他乐克针剂缓慢静脉注射, 每支5 mg, 共15 mg, 间隔5 min,观察心率、血压、心功能、ST段抬值总和、胸痛程度及1周内恶性心律失常、猝死、再发心肌梗死等情况。结果 静脉注射倍他乐克后,患者血压、心率及收缩压与心率乘积(SBP HR)、胸痛积分均明显下降，而心梗相关导联ST段抬高值的总和(∑ST)也有明显下降，心功能无明显下降，1周内未发生不断改进性心律失常、猝死、再发心肌梗死。结论 早期静脉注射倍他乐克可有效预防急性心肌梗死患者发生心力衰竭和预防猝死、再发心肌梗死。 【关键词】 倍他乐克；急性心肌梗死；治疗 Metoprolol injection in the treatment of acute myocardial infarction ZHANG Ming, LUO Shi-tang, ZHENG Xiao-ling.Department of cardiovascular internal medicine,The Affiliated Hospital of Guangdong Medical College Third,Guangdong,525000，China 【Abstract】 Objective To study the effects of intravenous metoprolol for treatment of acute myocardial infarction in safety and efficacy. Methods 33 cases of patients with acute myocardial infarction, the exclusion of severe hypotension, severe heart beat bradycardia, atrioventricular block and cardiogenic shock, to the 3 times he le g injection slow intravenous injection, each branch of 5 mg, 15 mg, 5 min interval, heart rate, blood pressure, heart function, value of the sum of ST segment carried within 1 weeks, chest pain and m alignant arrhythmia, sudden cardiac death, recurrent myocardial infarction; Results intravenous metoprolol g, blood pressure, heart rate and systolic blood pressure and heart rate (SBP HR product), chest pain score decreased significantly, while ST segment elevation myocardial infarction related to the sum of the values (and ST) also decreased significantly, cardiac function without obvious decline, 1 weeks without improvement of arrhythmias, sudden death, recurrent myocardial infarction; Conclusion Early intravenous metoprolol for G can be effective in preventing acute myocardial infarction occurring in patients with heart failure and prevention of sudden death, recurrent myocardial infarction. 【Key words】 Metoprolol; Acute myocardial infarction; Treatment 急性心肌梗死(Acute myocardial infarction, AMI) 早期使用倍他乐克可明显缩小心肌梗死面积、减少病死率和心脏猝死率,