摘要
目的探讨心绞痛(AP)与心肌梗塞(AMI)的发生和转归间的相关性。方法将221例次有 AP 病史和177例无 AP病史 AMI 患者临床资料作对比研究。结果无痛性 AMI 的发病率为44.36%。两组样本年龄、性别差异均有显著性。危险因素在有无 AP 史上未见显著差异。有过 AMI 史的患者再次发生 AMI,大多数都呈 AP 型,而其第一次发生的可以是无痛性 AMI。两组间 CPK 峰值、LVEF 值、早期并发症及再梗塞率、住院死亡率等方面无显著差异。结论无痛性 AMI 与 AP 型具有相同的危险性及预后,并占 AMI 总发病率的很大比重,应予以高度重视。
To discuss the relativity of angina pectoris and acute myocardial ischemia.Method To compare theclinical material of 221 AMI patients with AP and 177 AMI patients without the two groups are remarkable.The differences in risk fac-tors between the two groups are insignificance.When a patient,who had got an AMI,again,it's always one with AP.While the first AMI it had got maybe had been one without AP.And there are no remarkable differences in peak value of CPK,LVEF,early stage syndrome,frank of AMI again and frank of death in hospital,etc,between two groups.Couclusion The dangers and theprognosis in AMI with AP are same as those without AP.And AMI with AP accounts for large proportion of all.
出处
《福州总医院学报》
1999年第4期28-29,共2页
Journal of Fuzhou General Hospital
