急性心肌梗塞是内科常见急症,我们在院前抢救时静滴硝酸甘油取得较好效果,现报告如下。临床资料本组男9例,女2例。年龄52～65岁。平均55.8岁。心肌梗塞部位:前间壁2例,前壁4例,下壁3例,广泛前壁2例。诊断标准:院前诊断急性心肌梗塞(AMI),凡符合(1)持续严重心前区疼痛15分钟以上;(2)心电图符合 AMI 演变,即可作出诊断。由于条件所限,血清酶改变不作要求。均在医院外发病地点就地抢救。其中家庭8例,办公室、医务室、商店各1例。发病至医务人员到达现场时间,最短10分钟,最长2小时40分钟(未及时呼救)。就地抢救最 Acute myocardial infarction is a common medical emergency, we rescue intravenous nitroglycerin to achieve better results, are as follows. Clinical data The group of 9 males and 2 females. Age 52 ~ 65 years old. Average 55.8 years old. Myocardial infarction site: anterior wall in 2 cases, anterior wall in 4 cases, 3 cases of inferior wall, extensive anterior wall in 2 cases. Diagnostic criteria: Pre-hospital diagnosis of acute myocardial infarction (AMI), where consistent with (1) sustained severe pain in the anterior region more than 15 minutes; (2) ECG consistent with the evolution of AMI, you can make a diagnosis. Due to conditions, no change in serum enzyme requirements. All were hospitalized outside the site of disease rescue. Including 8 cases of family, office, clinic, shop in 1 case. The incidence of medical staff arrived at the scene time, the shortest 10 minutes, up to 2 hours and 40 minutes (not timely call for help). Local rescue most