Ekha Ia E, Rebane T Kh, Lukha O A, Leĭssoo A R, Serka T T
Kardiologiia. 1983 Sep;23(9):9-12.
Urgent selective coronarography followed by intracoronary infusion of nitroglycerin and streptokinase (2000-4000 U/min) was performed in 24 patients with acute myocardial infarction. Mechanical recanalization of an occluded coronary artery was also performed in two patients. The coronary artery supplying the infarcted area was occluded in 22 patients while 2 patients had third-degree stenosis. Following intracoronary drug infusion, antegrade flow was recovered completely in 16 of 22 occluded coronary arteries (72.7%). All patients, however, retained acute coronary arterial stenosis around former occlusions. Aortal-coronary shunting was performed within 1 to 20 days in 6 patients.
对24例急性心肌梗死患者进行了紧急选择性冠状动脉造影，随后冠状动脉内注入硝酸甘油和链激酶（2000 - 4000 U/分钟）。另外对2例患者进行了闭塞冠状动脉的机械再通。22例患者梗死区域的供血冠状动脉闭塞，2例患者有三度狭窄。冠状动脉内药物注入后，22例闭塞冠状动脉中有16例（72.7%）完全恢复了前向血流。然而，所有患者原闭塞部位周围仍存在急性冠状动脉狭窄。6例患者在1至20天内进行了主动脉 - 冠状动脉分流术。
