综合医院急诊科是诊治包括急性心肌梗塞(AMI)在内急重症的首诊科室。为尽早溶栓以获得良好的溶栓效果,我科自1993年起开展尿激酶急诊静脉溶栓治疗AMI,至今共治疗26例,疗效满意,现报道如下。资料与方法一、一般资料 26例中,23例为我科首诊病人,3例为他院转来的病人。21例为初发病例,5例为再发梗塞。临床、心电图、酶谱演变均符合1979年WHO的诊断标准。男性20例,女性6例。年龄34～ The general hospital emergency department is the first department to diagnose acute and severe cases including acute myocardial infarction (AMI). Thrombolytic therapy as early as possible to obtain a good thrombolytic effect, our department since 1993 to carry out urokinase emergency intravenous thrombolytic therapy of AMI, a total of 26 cases were treated with satisfactory results, are reported below. Materials and methods First, the general information of 26 cases, 23 cases for the first patient in our department, 3 patients transferred to other hospitals. 21 cases of initial cases, 5 cases of recurrent infarction. Clinical, electrocardiogram, zymogram evolution are in line with the 1979 WHO diagnostic criteria. 20 males and 6 females. Age 34 ~