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例1 女性,71岁。因持续性心前区压榨样疼痛伴气促、乏力10小时30分钟于1990年9月25日入院。血压7.98/5.32kPa(60/40mmHg),两下肺闻及少许湿罗音,心界不大,心律齐,心率98次/分,闻及S_3,心尖区有收缩期吹风样杂音(Ⅲ/Ⅳ),向左腋下传导。心电图示QRS_(v_1)呈QS型(V_2有小r波),ST_(v_1～V_5)呈单向曲线抬高,V_2～V_4高达7～10mm。诊断为急性广泛前壁心肌梗塞。于发病后11小时零5分钟给予日本尿激酶96万单位静脉滴注,半小时内输完。3小时后用肝素静脉滴注,根据凝血时间调整滴数。尿激酶滴入后40分钟,患者胸痛消失,于2～3小时后出现短
Example 1 Female, 71 years old. Due to persistent precordial press-like pain with shortness of breath, fatigue 10 hours and 30 minutes in September 25, 1990 admission. Blood pressure 7.98 / 5.32kPa (60 / 40mmHg), two lung smear and a little wet rales, the heart is not big, heart rate Qi, heart rate 98 beats / min, smell and S_3, apical systolic hair- Ⅳ), left axillary conduction. ECG QRS_ (v_1) was QS type (V_2 small r wave), ST_ (v_1 ~ V_5) showed a one-way curve elevation, V_2 ~ V_4 up to 7 ~ 10mm. Diagnosis of acute extensive anterior myocardial infarction. After the onset of 11 hours and 5 minutes to give Japan urokinase 96 million units intravenous infusion, lost within half an hour. After 3 hours with heparin intravenous drip, adjust the number of drops according to clotting time. Forty minutes after urokinase instillation, the chest pain disappeared and appeared shortly after 2 to 3 hours