Katz A, Caspi M, Zure N, Presma J, Shamai Z, Ovsyshcher I
Kibbutz Dorot Clinic, Soroka Medical Center, Beer Sheba.
Harefuah. 1993 Jul;125(1-2):11-3, 64, 63.
Early thrombolytic therapy gives maximum benefit in acute myocardial infarction. In remote rural areas with no mobile intensive care service there is a significant delay between onset of symptoms and administration of thrombolytic therapy which has a critical impact on revascularization. Thrombolytic therapy with streptokinase 1,500,000 U was given in a primary care rural clinic to 2 patients with evolving myocardial infarction 45-50 minutes from onset of symptoms. In both patients, who were transported to hospital after the therapy, there were clinical signs of reperfusion. There were no complications during treatment or transportation. We conclude that thrombolytic therapy given for evolving myocardial infarction in a rural primary care clinic is possible and safe.
早期溶栓治疗对急性心肌梗死最为有益。在没有移动重症监护服务的偏远农村地区，症状出现与溶栓治疗给药之间存在显著延迟，这对血管再通有至关重要的影响。在一家农村基层诊所，对2例症状出现后45 - 50分钟的进展性心肌梗死患者给予了150万单位链激酶进行溶栓治疗。两名患者在治疗后均被送往医院，均出现了再灌注的临床体征。治疗及转运过程中均未出现并发症。我们得出结论，在农村基层诊所对进展性心肌梗死进行溶栓治疗是可行且安全的。
