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目的探讨各种因素对急性心肌梗塞预后的影响。方法回顾性总结我科近两年急性心梗患者临床资料。结果各因素相关病死率分别为,年龄55岁以下5%,56-65岁5%,66-75岁11%,76岁以上29%。女性18.4%,男性10%。入院时收缩压<80mmHg69%,80-140mmHg7.1%,>140mmHg0%。心梗发病前有心绞痛者2.9%,无心绞痛者19.4%。前间壁23.1%,前壁5.5%,广泛前壁36.3%,高侧壁0%,下壁2.6%,两部位以上30.8%。killipⅠ级3.3%,killipⅡ级11.1%,killipⅢ级11.7%,killipⅣ级61.5%。溶栓组4.8%,未溶栓组27.7%。结论心梗病人的年龄,血压,killip分级,梗塞部位,范围及有无侧支循环是判断近期预后的重要指标。
Objective To explore the influence of various factors on the prognosis of acute myocardial infarction. Methods The clinical data of patients with acute myocardial infarction in recent two years in our department were retrospectively reviewed. Results The mortality rates of all the factors were 5% under 55 years of age, 5% of 56-65 years old, 11% of 66-75 years old and 29% of those over 76 years old. 18.4% of women and 10% of men. Systolic blood pressure at admission <80mmHg69%, 80-140mmHg7.1%,> 140mmHg0%. Before onset of myocardial infarction angina pectoris 2.9%, no angina pectoris 19.4%. 23.1% of the anterior wall, 5.5% of the anterior wall, 36.3% of the anterior wall, 0% of the superior wall, 2.6% of the inferior wall, and 30.8% above the two portions. 3.3% of killipⅠ, 11.1% of killipⅡ, 11.7% of killipⅢ and 61.5% of killipⅣ. 4.8% thrombolytic group, 27.7% without thrombolysis group. Conclusion The age, blood pressure, killip grade, infarct location, extent and collateral circulation in patients with myocardial infarction are important indicators to judge the recent prognosis.