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目的比较小范围和大范围急性心肌梗死患者临床特征和早期病死率。方法对 416例急性心肌梗死患者按照 Wagner的 QRS评分法分为小范围心肌梗死组 2 5 1例和大范围心肌梗死组 165例。结果大范围心肌梗死组有高血压病史的比例较高 ,入院时心率较快 ,临床和超声心动图测得的心功能较差 ,心源性休克发生率较高。小范围心肌梗死组早期病死率 13.94% ,大范围心肌梗死组早期病死率 33.33%。结论 QRS评分法对判断急性心肌梗死患者预后具有重要意义。
Objective To compare the clinical features and early mortality of patients with acute myocardial infarction in a small area and in a wide range. Methods A total of 416 acute myocardial infarction patients were divided into two groups according to Wagner QRS score: 25 cases in the small-scale myocardial infarction group and 165 cases in the large-scale myocardial infarction group. Results Large-scale myocardial infarction group had a higher proportion of history of hypertension, heart rate on admission was faster, clinical and echocardiographic heart function measured poor, high incidence of cardiogenic shock. Small-scale myocardial infarction group early mortality was 13.94%, large-scale myocardial infarction group early mortality was 33.33%. Conclusion The QRS score is of great importance in judging the prognosis of patients with acute myocardial infarction.