about st-segment elevation acute myocardial infarction pre-hospital thrombolysis in 120 successful case report（120年对st段抬高急性心肌梗死院前溶栓成功的病例报告）.docVIP

About ST-segment elevation acute myocardial infarction pre-hospital thrombolysis in 120 successful case report Author: Zhong Yang Chao Li Xuemei Li Yun Bopulifen Patients, male, aged 58, at 19:40 on October 22, 2010 tired, hot bath after a palm-sized precordial suddenly felt severe crushing pain, continuing to ease, with sweat, sense of impending doom, nausea, vomiting, stomach contents (specific unknown, syncope 1, showing the pale purple, and call not, self-conscious about a few minutes later, on October 22, 2010 with severe chest pain with syncope to a local hospital for treatment, consider the “acute myocardial infarction.” special treatment is not OK, 22:07 pm 120 call transfers. to answer the phone immediately rushed to (22:36), then prompt ECG: sinus rhythm, heart rate 50 times per minute, Ⅱ, Ⅲ, AVF ST-segment elevation 0.1 to 0.2 mV, Ⅰ, AVL ST segment depression 0.05-0.1 mV, V5-V6T wave flat (Figure 1 because the patient was ST-segment elevation myocardial infarction, the incidence in 3 hours, previous history of hypertension, high blood pressure 180/120mmHg, is now blood pressure was 130/80mmHg, with a history of hyperlipidemia (specific unknown), denied the ulcer, cerebrovascular disease and history of other bleeding disorders, no recent surgery. be considered for thrombolytic contraindications, onset at 3 hours, so active and their families, save for the greatest degree of myocardial viability, given pre-hospital thrombolysis, before the opening of two shares of the elbow vein, Juefu aspirin enteric-coated tablets 300mg, clopidogrel bisulfate tablets, 300mg antiplatelet . ECG shows occasional premature ventricular contractions, give Amiodarone Hydrochloride Injection 300mg bolus infusion to maintain anti-arrhythmia after 1mg/min at 23:46 to give recombinant human tissue-type plasminogen kinase derivatives (rPA, Riverstone established brand name, bio-pharmaceutical Co., Ltd. Shandong, Iowa, 18mg (10MU, 5% glucose dissolved in 10ml, more than two minu