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急性心梗发病后数小时至关重要,必须当机立断,决定采用何种药物,以期降低患者的死亡率。溶栓治疗仍是当前主要措施。作者回顾非溶栓治疗资料后提出下列意见。阿司匹林使用方便(每日口服80或325mg),疗效可靠,除过敏和鼻息肉伴哮喘者外,已成为急性心梗和不稳定型心绞痛的第一线常规用药。其他药物则否。强调只有在无除颤设备情况下进行溶栓治疗者才考虑预防性应用利多卡因。它能预防室颤,却不能降低死亡率,甚至可引起心动过缓和心脏停搏,故须慎用。硝酸酯类适用于持续胸痛且
Acute myocardial infarction hours after the crucial importance, must act decisively, decided to use what kind of drugs, with a view to reducing patient mortality. Thrombolytic therapy is still the main current measure. The authors review the following information on non-thrombolytic therapy. Aspirin is easy to use (daily oral 80 or 325mg), reliable effect, in addition to allergies and nasal polyps with asthma, has become the first line of acute myocardial infarction and unstable angina routine use. Other drugs are not. Emphasized that prophylactic lidocaine should be considered only if thrombolytic therapy was performed without a defibrillation device. It can prevent ventricular fibrillation, but can not reduce the mortality rate, and even can cause bradycardia and cardiac arrest, it should be used with caution. Nitrates for persistent chest pain and