急性心肌梗死静脉溶栓治疗和心电监护的体会

目的探讨静脉溶栓治疗和心电监护对急性心肌梗死（AMI）的疗效。方法全部病例均符合WHO规定的AMI诊断标准，治疗均给予尿激酶（UK）100U～150万U，加生理盐水100ml，静脉点滴，30min滴完。同时给予心电监护，以期能及时发现患者存在的各种心律失常。结果本组72例中，均无牙齿出血、消化道出血及出血性脑卒中等并发症的发生，1例出现静脉穿刺部位皮肤瘀斑；所有患者均好转出院。结论静脉溶栓治疗和心电监护对急性心肌梗死（AMI）的疗效可靠，值得在基层医院使用。

Intravenous Thrombolysis in Acute Myocardial Infarction and ECG Monitoring Experience

Objective To investigate the intravenous throinbolytie therapy and ECG in acute myocardial infarction （ AMI ） effect. Methods All the eases were consistent with the provisions of WHO AMI diagnostic criteria, treatment were given urokinase （ UK ） from 100 U to 1500000 U, plus saline 100 ml, 30 rain after intravenous drip, drip. At the same time given ECG monitoring, with period can be found in patients with various cardiac arrhythmias. Results In this group of 72 cases , all without the tooth bleeding, gastrointestinal bleeding and hemorrhagic stroke and other complications occurred in 1 eases, venous puncture site skin eeehymosis; all patients cured and discharged. Conclusions Intravenous thrombolytie therapy and ECG in acute myocardial infarction （ AMI ） and the curative effect is reliable, worthy of use in hospitals.