急性心肌梗塞静脉内溶栓疗法成功与否决定继续溶栓疗法,抑或停止抗凝治疗并开始冠状动脉成形术。在不作冠状动脉造影术时,识别再灌注依靠其他临床表现,例如,胸痛缓解、抬高的 ST 段复位、特异性心律失常发生、血浆 OK 和 OK-MB 早期快速增高可作为再灌注的标志。对50例在发病后3.3±0.7小时内开始冠状动脉内链激酶治疗的急性进展性心肌梗 The success of intravenous thrombolysis in acute myocardial infarction decided to continue thrombolytic therapy, or stop anticoagulant therapy and coronary angioplasty. In the absence of coronary angiography, reperfusion depends on other clinical manifestations, such as chest pain relief, elevation of ST segment anomalies, specific arrhythmias, plasma OK and OK-MB early rapid increase can be used as a sign of reperfusion. Fifty patients with acute progressive myocardial infarction who started coronary artery streptokinase within 3.3 ± 0.7 hours after onset