Oldham J T, Thanavaro S, Hinkley W E, Gerdes J M, Weiss E S
Ann Emerg Med. 1984 Apr;13(4):284-6. doi: 10.1016/s0196-0644(84)80478-3.
We present a case of thrombolytic therapy for acute myocardial infarction with high-dose intravenous streptokinase infusion in the emergency department. Resolution of ST segment elevation and relief of chest pain occurred within one hour of the infusion, and coronary angiographic study six days later showed a significant proximal obstruction (80%) of the right coronary artery. The patient underwent coronary artery bypass surgery eight weeks after his initial hospital presentation.
我们报告了1例在急诊科通过大剂量静脉输注链激酶进行急性心肌梗死溶栓治疗的病例。输注后1小时内ST段抬高消失且胸痛缓解,6天后的冠状动脉造影显示右冠状动脉近端存在严重阻塞(80%)。患者在首次入院8周后接受了冠状动脉搭桥手术。