Myocardial infarction is clinically known as acute myocardial ischemic necrosis, once the attack of this disease, should immediately stop the activity, and call 120 emergency telephone, under the guidance of the doctor, to take the supervision and general treatment, drug therapy, surgical treatment and other methods, to achieve the purpose of saving the dying myocardium, to prevent the expansion of infarcts, protection and maintenance of cardiac function and so on.
1. Emergency treatment: once the disease strikes, the patient should stop the activity immediately and take nitroglycerin under the tongue according to the doctor’s instruction, and at the same time, call the 120 emergency telephone.
2. Hospitalization treatment:
(1) Supervision and general treatment: after arriving at the hospital, the patient should rest in bed and reduce visiting; and carry out the monitoring of electrocardiogram, blood pressure and respiration; if there are respiratory difficulties and reduced oxygen saturation, oxygen can be appropriately inhaled.
(2) Drug therapy: use morphine and other pain relief as prescribed by the doctor; apply antiplatelet drugs such as aspirin and tegretol, apply coronary artery dilating drugs such as nitroglycerin, and apply lipid-lowering and plaque-stabilizing drugs such as statin.
Unless contraindicated, all patients with acute myocardial ischemic necrosis, whether or not thrombolytic therapy, need to be based on antiplatelet therapy, combined with anticoagulation, commonly used drugs such as heparin, sulfadoxine heparan decylate sodium, etc.; if it is expected that the direct percutaneous coronary intervention is greater than 2 hours, you need to choose urokinase, streptokinase, recombinant tissue-type fibrinolysin and other thrombolytic.
(3) Surgical treatment: direct percutaneous coronary intervention to facilitate the opening of occluded vessels, complete myocardial perfusion, intervention failure or thrombolytic therapy is ineffective in patients with surgical indications, emergency coronary artery bypass grafting should be carried out.
Acute myocardial ischemic necrosis at the onset of symptoms are more serious, and easy to cause death, if the discomfort, should immediately call the emergency telephone, so as not to delay the condition.