Gutman M B, Lee T F, Gin K, Ho K
Department of Emergency Medicine, Vancouver Hospital and Health Sciences Centre, British Columbia.
Can Fam Physician. 1996 Jul;42:1330-9.
Patients with acute myocardial infarct (AMI) need rapid diagnosis and prompt initiation of thrombolytic therapy. Patients with suspected cardiac ischemia must receive a coordinated team response by the emergency room staff including rapid electrocardiographic analysis and a quick but thorough history and physical examination to diagnose AMI. Thrombolysis and adjunct therapies should be administered promptly when indicated. The choice of thrombolytics is predicated by the location of the infarct.
急性心肌梗死（AMI）患者需要快速诊断并及时开始溶栓治疗。疑似心脏缺血的患者必须得到急诊室工作人员的协同反应，包括快速心电图分析以及快速但全面的病史采集和体格检查，以诊断AMI。如有指征，应及时给予溶栓及辅助治疗。溶栓药物的选择取决于梗死部位。
