论文部分内容阅读
本文对24例急性心肌梗塞(AMI)晚发性心性猝死的临床资料进行分析,并对其发生危险因素及预防措施做以下简要讨论。 1 临床资料 24例为我院1988年1月～1994年1月收住院患者。AMI的诊断根据病史、心电图及酶学变化而确定。晚发性心性猝死的诊断为AMI发病二周以后病情稳定情况下突然发病于即刻或6小时内发意外死亡。男16例,女8例,年龄41～83岁。广泛前壁梗塞15例,前间壁5例,下壁+右室+正后壁4例。早期并发心衰14例,肺水肿、休克、三度房室传导阻滞者4例,室早14例。短阵室速3例。QTc延长16例,发生室壁瘤15例,心室晚电位阳性20例。发生猝死时间:发病后第2～3周10例,第3～4周8例,4周以后6。诱因:情绪激动12例,大便费力6例,下床过早活动2例,4例无明显诱
This article analyzes the clinical data of 24 cases of AMI with sudden cardiac death and briefly discusses the following risk factors and preventive measures. 1 clinical data 24 cases for our hospital from January 1988 to January 1994 admitted to hospital patients. The diagnosis of AMI is based on history, electrocardiogram and enzyme changes. The diagnosis of late-onset sudden cardiac death is accidental death within an instant or within 6 hours after a sudden onset of AMI after two weeks of onset of AMI. 16 males and 8 females, aged 41 to 83 years old. A wide range of anterior infarction in 15 cases, anterior wall in 5 cases, inferior wall + right ventricular + posterior wall in 4 cases. Early concomitant heart failure in 14 cases, pulmonary edema, shock, third degree atrioventricular block in 4 cases, as early as 14 cases. Temporary VT in 3 cases. QTc extended in 16 cases, 15 cases of aneurysm occurred, ventricular late potential positive in 20 cases. Sudden death occurred in the time: 2 to 3 weeks after onset in 10 cases, 3 to 4 weeks in 8 cases, 4 weeks after 6. Incentives: emotional excitement in 12 cases, stool effort in 6 cases, out of bed premature activity in 2 cases, 4 cases no obvious incentive