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[硝酸甘油在心肌梗死急性期的应用经验]

[Experience in using nitroglycerin in the acute period of myocardial infarct].

作者信息

Mikhaĭlov A A, Lazutin V K, Zhelnov V V, Simonov V I, Giliarovskiĭ A K

出版信息

Kardiologiia. 1981 Dec;21(12):65-9.

PMID:6799691
Abstract

To treat the left ventricular insufficiency, complicating myocardial infarction, and to limit the area of the ischemic damage of myocardium the authors used nitroglycerin solution. It is established that the nitroglycerin injection stops effectively the acute left ventricular insufficiency in myocardial infarction. Results of investigations show the decrease of the ischemic zone of the damaged myocardium in the acute period of infarction under the influence of nitroglycerin. It is concluded that intravenous drop administration of nitroglycerin is rational, under thorough control of the arterial pressure, the central venous pressure and intracardiac haemodynamics.

摘要

为治疗并发心肌梗死的左心室功能不全,并限制心肌缺血损伤的范围,作者使用了硝酸甘油溶液。已证实,硝酸甘油注射能有效阻止心肌梗死时的急性左心室功能不全。研究结果表明,在硝酸甘油的影响下,梗死急性期受损心肌的缺血区减小。得出的结论是,在对动脉压、中心静脉压和心内血流动力学进行全面监测的情况下,静脉滴注硝酸甘油是合理的。

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