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目的探讨没有能力开展介入治疗和冠脉搭桥手术治疗的基层医院抢救急性心肌梗死(AMI)的药物使用方法。方法回顾性分析76例急性心肌梗死患者的抢救用药,研究其选用抗血小板药物、硝酸酯类、β受体阻滞剂、抗凝药、溶栓剂、他汀类及血管紧张素抑制剂、麻仁软胶囊、质子泵抑制药物及辨证使用部分中成药情况,分析其抢救成功率。结果治愈50例,约占65.8%,好转13例,占17.1%。转院进一步治疗8例,占10.5%,死亡5例,占6.6%。结论合理的药物使用能够降低AMI患者的死亡率。
Objective To investigate the use of drugs for rescue of acute myocardial infarction (AMI) in primary hospitals who are unable to carry out interventional therapy and coronary artery bypass grafting. Methods A retrospective analysis of 76 patients with acute myocardial infarction rescue medication, study the selection of antiplatelet drugs, nitrates, beta blockers, anticoagulants, thrombolytic agents, statins and angiotensin inhibitors, hemp Ren soft capsules, proton pump drugs and dialectical use of some proprietary Chinese medicine, analysis of the success rate of rescue. Results of 50 cases were cured, accounting for 65.8%, improved in 13 cases, accounting for 17.1%. Transfer to further treatment in 8 cases, accounting for 10.5%, 5 deaths, accounting for 6.6%. Conclusion Rational drug use can reduce the mortality of patients with AMI.