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急性心肌梗塞晚期是指心肌梗塞发病超过12小时以上的病人。我们自1995年3月～1999年6月对8例心肌梗塞晚期病人进行溶栓治疗,并设对照组进行前瞻性对比观察,报告如下。 1 临床资料 入选标准:(1)有典型心肌梗塞临床表现;有特征性动态心电图改变;有血清酶学改变等,被确诊的急性心肌梗塞患者。(2)发病在12～50小时之间。(3)无溃疡病、脑出血、血液病学等出血性疾病及出血倾向者。(4)肝、肾功能正常及无严重高血压者。 本组共观察16例,全部为住院病人,均为男性,年龄在40～70岁之间。按入选顺序将病人分为两组。治疗组8例,其中广泛前壁梗塞(包括前侧壁)2
Late acute myocardial infarction refers to the incidence of myocardial infarction more than 12 hours of patients. From March 1995 to June 1999, 8 patients with advanced myocardial infarction were treated by thrombolytic therapy, and the control group was prospectively controlled and compared as follows. 1 clinical data included in the selection criteria: (1) a typical clinical manifestations of myocardial infarction; a characteristic change of dynamic electrocardiogram; a change in serum enzymology, was diagnosed with acute myocardial infarction. (2) The incidence of 12 to 50 hours. (3) no ulcer disease, cerebral hemorrhage, hematological hemorrhagic diseases and bleeding tendency. (4) liver and kidney function and no serious hypertension. The group were observed in 16 cases, all hospitalized patients, all men, aged 40 to 70 years old. The patients were divided into two groups according to the order of selection. Treatment group of 8 patients, including extensive anterior wall infarction (including the anterior wall) 2