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