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急性心肌梗塞患者的死亡方式和死亡原因──80例临床病理研究 被引量:10

MODE AND CAUSE OF DEATH OF PATIENTS WITH ACUTE MYOCARDIAL INFARCTION: A CLINlCOPATHOLOGICAL STUDY OF 80 CASES
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摘要 本文报告80年代经尸检证实的急性心肌梗塞(AMI)80例,旨在研究AMI的死亡方式和死亡原因。死亡方式分为4组:Ⅰ组心源性猝死11例;Ⅱ组合并恶性肿瘤16例;Ⅲ组多脏器功能衰竭22例;Ⅳ组AMI及其并发症23例。死亡原因:泵衰竭52例,心脏破裂10例,心律失常9例,非心脏性死因9例。讨论了死亡方式和死亡原因的关系,以及死亡原因升降的有关因素,指出泵衰竭目前仍然是AMI的主要并发症和防治的重点。 The mode and cause of death of 80 patients with acute myocardial infarction(AMI)were studied at necropsy.The patients were classified into four groups:1.Sudden cardiac death without(4)and with cardiac failure(7);2.AMI complicated by malignant tumor,but died of AMI(9),died of malignant tumor(7);3.Multiple organ failure,less than two oragans(10)and more than three organs(12);4.AMI and its major complications,with aneurysm(9)and without aneurysm(22).The causes of death of AMI due to pump failure amounted to 65.0%(52),cardiac rupture 12.5%(10),arrhythmia 11.25%(9) and non-cardiac disease 11.25%(9),the relationship between the mode and cause of death in AMI were discussed.As pump failure is a majar complication of AMI,its prevention and treatment should be much emphasized.
出处 《中国循环杂志》 CSCD 1994年第4期198-200,共3页 Chinese Circulation Journal
关键词 心肌梗塞 死亡 多器官衰竭 Acute myocardial infarction Pump failure Sudden cardiac death Mode of death Cause of death
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