只要患者及时住院,冠心监护病房已能使急性心肌梗塞患者的死亡率持续下降,例如我院(芝加哥大学冠心病监护中心)500例此类患者在急性期间的死亡率在9％以下,而同类病人在普通心脏病房救治者,其死亡率则超过25％。 死亡率降低主要由于对急性心律紊乱提供较好的预防、诊断与治疗,但急性心肌梗塞合并严重的心室衰竭,仍是治疗上最严重的问题,当心输出量明显降低与左室充盈压升高时,单用药物治疗,其死亡率仍在90％以上。 As long as patients are hospitalized in time, coronary heart care unit has been able to make the mortality rate of patients with acute myocardial infarction continued to decline, for example, our hospital (University of Chicago Coronary Care Center) 500 cases of such patients in the acute period mortality rate below 9% The same type of patient in the general cardiac ward, the mortality rate is more than 25%. The decrease in mortality is mainly due to better prevention, diagnosis and treatment of acute cardiac arrhythmias. However, acute myocardial infarction combined with severe ventricular failure is still the most serious problem in treatment. Attention should be paid to reducing output and increasing left ventricular filling pressure When the drug treatment alone, the mortality rate is still above 90%.