11. 病人46歲卡車司機,因急發胸疼三小時求醫。病人無重大疾病。早晨登山中突然胸痛伴有左肩酸痛與泠汗。就近醫院求診,心電圖如圖示,血清CPK=240, 一天後上升至4224IU/L,CK-MB=9.8U/L,一天後上升至172.5U/L。血壓,117/76 mmHg;心跳,56/min,其他理學檢查並無重大異常,處置後轉送醫學中心。請問此醫院的何組處置,才符合指引規定之初始處置(Initial management)?(1)Carvedilol 3.125 mg qd / po (2)Atorvastatin 20 mg qd (3)Aspirin 80 mg qd and Clopidogrel 300 mg loading followed by 75 mg qd (4)IV nitroglycerin (5)IV Heparin 5000 u bolus followed by 1000u/hr (6)rTissue plasminogen activator IV, 15mg bolus followed by 85 mg / 90 min
(A) (1)+(2)+(3)
(B) (2)+(3)+(4)
(C) (2)+(3)+(5)
(D) (3)+(4)+(5)
(E) (4)+(5)+(6)