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Dcwood等对急性心肌梗塞(AMI)病人进行早期冠脉造影证实,90％有血栓存在,从而奠定了溶栓治疗的理论基础,大量研究资料已表明:AMI早期(4～6小时内)给予溶栓治疗,可以使血栓迅速溶解,冠脉再通,从而缩小梗塞面积,降低泵衰及病死率,用溶栓剂经静脉冠脉再通(IVCR)疗法在国内一些单位已用于AMI早期病人,但该方面临床实际报道尚不多见,1991年11月～1992年7月间笔者对10例AMI早期给予国产尿激酶(UK)进行IVCR病人的再通情况进行了临床观察,报告如下:
Dcwood and other acute myocardial infarction (AMI) patients with early coronary angiography confirmed that 90% of thrombi exist, which laid the theoretical basis for thrombolytic therapy, a large number of studies have shown that: AMI early (within 4 to 6 hours) Suppository therapy can rapidly dissolve the thrombus and recanalize the coronary artery to reduce infarct size and reduce pump failure and mortality. Some of the units in the country have been used in early AMI patients with thrombolytic agents (IVCR) , But the actual clinical reports in this area are rare, from 1991 November to 1992 July I 10 cases of early AMI given domestic urokinase (UK) for recanalization IVCR patients were observed, the report is as follows: