关于急性心肌梗塞者的最佳治疗,尚有争议,从在家医疗直至施行急症冠状动脉手术,由于内科治疗法的进展,近15年来心肌梗塞的住院死亡率已从30～40％下降到10～15％,最近更降至5％以下。治疗要求已从纠正电生理与血液动力学紊乱扩展到减轻急性缺血性损害与提高远期生存率。由于常规应用心电图监护、心脏按摩、利多卡因、直流电击复律及经静脉起搏器,心室颤动与传导阻滞的发病率 The best treatment of acute myocardial infarction is controversial, from home medical until the implementation of emergency coronary surgery, due to the progress of medical therapy, myocardial infarction in the past 15 years in-hospital mortality rate has dropped from 30 to 40% to 10 ~ 15%, recently dropped to below 5%. Treatment requirements have been extended from correcting electrophysiological and hemodynamic disturbances to reducing acute ischemic damage and improving long-term survival. Due to the routine use of ECG monitoring, cardiac massage, lidocaine, DC cardioversion and venous pacemakers, the incidence of ventricular fibrillation and conduction block