The invention discloses a coronary 
artery thrombolytic agent for acute 
myocardial infarction. The coronary 
artery thrombolytic agent is prepared from, by weight, 0.5-2 parts of tirofiban, 5-10 parts of 
bivalirudin, 3-5 parts of tenecteplase, 0.4 part of 
sodium nitroprusside, 0.0032 part of unfractionated 
heparin and the balance normal 
saline, and the normal 
saline is used for diluting the mixture to obtain the volume which is 10 times of the original volume. Researches show that great advantages are brought when antiplatelet and 
anticoagulant drugs are administrated in a coronary 
artery based on PCI treatment, local 
drug concentration is high according to 
drug administration in the coronary, the needed 
thrombolytic drug dosage is small, 
thrombolysis is fast, the success rate is high, and few of hemorrhagic complications are caused. The coronary artery 
thrombolytic agent is used in cooperation with the intranperative 
radiography or intracavity radiological technology, 
thrombus changes can be dynamically monitored in real time, the best microthrombus dissolving effect is achieved, the PCI intraoperative no-reflow occurrence rate is lowered, and the prognosis of a patient is significantly improved.