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本文为作者在美国进修期间观察冠脉内滴注链激酶(SK)治疗急性心肌梗塞(AMI)40例疗效分析:①其中男31例,女9例。年龄33～74岁,平均56±9岁。②梗塞部位:下壁22例,前壁13例,前侧壁4例,前间隔1例。③完全阻塞的血管:右冠18例,左前降14例,左前降及右冠(旧)3例,左旋支3例,左旋支及左前降(旧)1例,右冠及左前降(旧)1例。④方法:先从动脉内注入肝素4000u,待阻塞的冠脉确定后,再注4000u,随即冠脉内注入SK,开始4000u/分的速度(2000u/ml),继以4000u/分速度滴注。⑤结果:溶血栓成功29例(29/40),从开始灌
This article is the author in the United States during the observation of coronary artery drip streptokinase (SK) treatment of acute myocardial infarction (AMI) 40 cases of efficacy analysis: ① male 31 cases, female 9 cases. Age 33 ~ 74 years, mean 56 ± 9 years old. ② infarction: 22 cases of inferior wall, anterior wall in 13 cases, anterior wall in 4 cases, anterior interval in 1 case. ③ Complete occlusion of blood vessels: right coronary artery in 18 cases, left anterior descending in 14 cases, left anterior descending and right coronary artery in 3 cases, left circumflex artery in 3 cases, left circumflex artery and left anterior descending (old) in 1 case, right coronary artery and left anterior descending 1 case. ④ Methods: First heparin 4000u was injected into the artery. After the coronary artery to be obstructed was identified, 4000u was injected again. Immediately thereafter, SK was injected into the coronary artery at a rate of 4000u / min (2000u / ml) . ⑤ Results: Thrombolytic success in 29 cases (29/40), from the beginning of irrigation