尿激酶静脉溶栓治疗急性心肌梗死35例临床观察

Clinical observation of urokinase intravenous thrombolysis in the treatment of 35 cases of acute myocardial infarction

目的:观察尿激酶溶栓治疗急性心肌梗死的疗效。方法:收治急性心肌梗死患者35例,应用尿激酶治疗,溶栓距发病时间<6 h或6~12 h,用尿激酶150万U加入0.9%氯化钠注射液100 m L;快速滴注,30 min内滴完。结果:35例患者中,胸痛迅速缓解14例,抬高ST段下降7例,出现期前收缩3例,CK-MB酶峰值提前4例,未改善7例,有效率80%。结论:溶栓方法是从根本上治疗急性心肌梗死的方法,它能有效缩小梗死面积,改善心功能,早期应用尿激酶溶栓疗效显著。

Objective:To observe the effect of urokinase thrombolysis in the treatment of acute myocardial infarction.Methods:35patients with acute myocardial infarction were selected.They were applied urokinase treatment.Thrombolysis that apart from the onset time was less than 6 hours or 6 to 12 hours.They were given urokinase 150 miriade U joined into 0.9% sodium chloride 100 m L,quick drip,drip off within 30 minutes.Results:The effective rate was 80%.Conclusion:The thrombolysis method is the treatment of acute myocardial infarction fundamentally.It can effectively reduce the infarction area and improve the heart function.The early application of urokinase thrombolysis has significant curative effect.