急性心肌梗塞治疗的进展课件.ppt

* 20 * Activation Multiple agonists generated at the site of vascular injury induce platelet activation, which cause GP IIb/IIIa receptors to change to a fibrinogen binding-receptive state. * * 急性心肌梗塞治疗的进展 30-day outcomes with bailout stenting in glycoprotein Ⅱb/Ⅲa inhibitor trials * AMI 12小时内发病，ECG见ST↑，或LBBB Aspirin 300mg，Betaloc， 肝素？ 紧急冠脉造影及PTCA 使用溶栓剂 CCU 反复胸痛血流动力学不稳定 休克或 肺水肿 溶栓禁忌 适合溶栓 Ⅱ.急性心肌梗塞的治疗程序 * 急性心肌梗塞治疗的进展 * 急性心肌梗塞治疗的进展 * 急性心肌梗塞治疗的进展 TIMI-14 chest pain 12hrs ST↑ （888） tPA 50mg tPA ReoPro ReoPro control