12年急性心肌梗死指南.pptVIP

* * Evidence exists that expeditious restoration of flow in the obstructed infarct artery after the onset of symptoms in patients with STEMI is the key determinent of short- and long-term outcomes regardless of whether 再灌注治疗 is accomplished by 溶栓 or PCI. Efforts should be made to shorten the time from recognition of symptoms by the patient to contact with the medical system. * * * * * * * * * * * * 　 AMI溶栓治疗禁忌症 绝对禁忌症 　　（1）既往发生过出血性卒中，６个月内发生过缺血性脑卒中或脑血管事件 （2）中枢神经受损、颅内肿瘤或畸形 （3）近期（２～周）有活动性内脏出血 （4）未排除主动脉夹层 　溶栓治疗禁忌症-- 　 相对禁忌症 （5）入院时严重而未控制的高血压 180/110 mmHg或慢性严重高血压病史 （6）正在应用治疗剂量的抗