摘要
目的 探讨急性心肌梗死 (AMI)患者住院期间死亡的原因。方法 回顾总结 170例急性心肌梗死住院患者的病历资料并分为死亡、存活两组进行统计分析。结果 4 1例死亡 ,病死率为 2 4 1%。死亡组患者平均年龄(6 6 4± 9 4 )岁 ,存活组患者 (5 9 3± 9 2 )岁 ,两组间差别有显著性意义 (P <0 0 5 ) ;女性患者死亡率为 37 5 % ,男性患者为 2 0 0 % ,不同性别患者死亡率间差别有显著性意义 (P <0 0 1) ;死亡组中男、女患者平均年龄间差别有显著性意义 (P <0 0 5 ) ;两组患者梗死部位的构成与束支传导阻滞发生率间差别均有显著性意义 (P <0 0 1) ;发病2 4h内 ,死亡组患者白细胞总数为 (15 85± 6 5 1)× 10 9/L ,与存活组的 (11 78± 4 36 )× 10 9/L比较差别有显著性意义 (P <0 0 1)。 4 1例死亡患者中死于泵衰竭、心脏骤停、心脏破裂、心外原因的比例分别为 5 8 5 %、 2 4 4 %、7 3%、 9 8%。结论 年龄较大、女性、多部位梗死、束支传导阻滞、外周血白细胞较高的AMI患者死亡率高。泵衰竭是AMI死亡的主要原因 ,其次是心脏骤停。应对AMI患者采取积极救治措施 ,从而降低AMI患者住院期间的死亡率。
Objective To Explore the death causes of the patients with AMI in the hospital.Methods The case information of 170 patients with AMI was retrospectively analysed.Results 41 cases died. The mortality rate was 24.1%.Mean ages, incidence of multiwall infarction and bundle branch block, white blood cell count in death group were higher than that in live group (66.4±9.4),34.2,46.3%(15.85±6.51)×10 9 VS(59.3±9.2),12.4,23.3%,(11.78±4.36)×10 9,P<0.05, Mortality of female was higher than that of male (37.5%VS20% P<0.05),incidence of pump the failure, cardiac arrest, heart rupture and other causes were 58.5%, 24.4%, 7.3% and 9.8% respectively.Conclusion Patients of aged, female, multi-side infarction, bound branch block, more white a blood cell count after AMI, have higher mortality. Pump failure was the first death cause of AMI, and heart rupture the second. Medical workers should take treatment measures actively for those patients in order to decease its mortality.
出处
《中国全科医学》
CAS
CSCD
2004年第12期869-870,共2页
Chinese General Practice
