摘要
将我院近20年的2792例急性心肌梗塞(AMI)患者的资料,按不同时期分为4组进行比较。结果表明,近15年来,AMI住院总数呈现每5年递增趋势,进入90年代后高龄患者明显增多,合并症中心衰增多,心律失常大大减少。病死构成比显示,近10年来高龄组及再发梗塞患者有所增加。总死因的前3位分别为心衰、室颤并心衰和(或)休克以及心衰并休克;高龄组主要死因为心衰。因此在AMI患者住院期间积极预防和控制泵衰竭是减少病死率的关键。
The 20 years data from 2 792 cases of acute myocardial infarction (AMI) were divided into 4 groups in every five years, and the morbidity, mortality and prognosis were compared. The results showed, during the last 15 years, the total case numbers admitted to hospital were increased gradually for every fiveyear period. During the recent 10 years, the aged cases increased significantly, and the case number complicated with heart failure rose up and that with arrhythmias went down obviously. For constitute ratio of death, there was a trend that aged cases and reinfarction increased steadily. Most deaths resulted from heart failure,ventricular fibrillation or cardiac shock, the main death cause was heart failure especially for aged AMI. Therefor, It is the key measure for AMI cases to be hospitalized to prevent from heart failure.
出处
《首都医科大学学报》
CAS
1998年第1期27-30,共4页
Journal of Capital Medical University
关键词
心肌梗塞
并发症
死亡率
构成比
AMI
acute myocardial infarction
complication
mortality
constitute ratio