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心室纤维颤动(VF)是急性心肌梗塞(AMI)常见且能致死的严重合并症。已公认继发性 VF 与院内病死率明显相关,有原发性 VF 者预后不良.作者在本研究中探讨 AMI 合并原发性 VF 与院内病死率之间的相关。病人和方法从1981年至1983年14个冠心病监护单位(CCU)共收治5839例 AMI 连续病例。原发性VF 是指 VF 发生于首次或复发性 AMI 患者入院后头48小时内,患者在发生 VF 时并无充血性心衰的临床症状及 X 线征,亦无肺水肿、心源性休克及低血压等
Ventricular fibrillation (VF) is a common and fatal comorbid acute myocardial infarction (AMI). It has been recognized that secondary VF is significantly associated with in-hospital mortality and that primary VF has a poor prognosis. In this study, we examined the association between AMI with primary VF and hospital-acquired mortality. Patients and Methods A total of 5,839 consecutive AMI cases were enrolled in 14 Coronary Care Units (CCU) from 1981 to 1983. Primary VF refers to the occurrence of VF in the first 48 hours after first or recurrent AMI and no congestive heart failure in patients with VF and no signs of pulmonary edema, cardiogenic shock and / Hypotension and so on