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1990年以来,我们成功出诊抢救26例急性心肌梗死患者。现报告如下。 临床资料:26例中,男21例,女5例;年龄57～72岁,平均64岁。心肌梗死位于前间壁9例、前壁6例、广泛前壁2例、下壁6例、后壁2例、心内膜下1例。发病地点在室内21例,室外活动期间5例。自行采取舌下含化硝酸甘油或速效救心丸等药物23例。发病至开始抢救时间8～25分钟。现场抢救措施:①吸氧;②心电监护;③止痛:吗啡3mg静脉注射;④抗凝:无出血倾向,采用肝素钠12500U+5％葡萄糖液500ml静滴;⑤抗心律失常:发现室性早搏立即静注利多卡因50mg,然后按2～4mg/min静滴,对心率<50次/min伴低血压者,可肌注阿托品0.5～1mg。26例经现场紧急救治,生命体征平稳。在严密心电监护下,全部转入医院治疗。住院期间有3例
Since 1990, we have successfully treated 26 patients with acute myocardial infarction. The report is as follows. Clinical data: 26 cases, 21 males and 5 females; aged 57 to 72 years, mean 64 years. Myocardial infarction in the anterior wall in 9 cases, anterior wall in 6 cases, extensive anterior wall in 2 cases, 6 cases of inferior wall, 2 cases of posterior wall, 1 case of endocardial. The incidence of 21 cases indoors, 5 cases during outdoor activities. Take their own sublingual nitroglycerin or quick save heart pills and other drugs in 23 cases. The onset of the rescue time to 8 to 25 minutes. Site rescue measures: ① oxygen; ② ECG; ③ analgesic: morphine 3mg intravenous injection; ④ anticoagulant: no bleeding tendency, the use of heparin 12500U + 5% glucose solution 500ml intravenous infusion; ⑤ anti-arrhythmia: Premature beating immediately intravenous lidocaine 50mg, and then by 2 ~ 4mg / min intravenous infusion, heart rate <50 beats / min with hypotension, intramuscular injection of atropine 0.5 ~ 1mg. 26 cases by the scene of emergency treatment, vital signs stable. Under the strict ECG, all transferred to the hospital for treatment. During hospitalization in 3 cases