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七十年代以前,急性心肌梗塞病死率高达30～40%,其中大部分患者死于心律失常,尤其是室颤.随着冠心病监护病房的建立及抢救设备的完善,一部分心律失常(室速、室颤)患者,得到了及时的发现及抢救.八十年代以来,急性心肌梗塞病死率下降到10%左右,其主要死亡原因为大面积心肌梗塞引起的泵衰竭.但在基层医院,心律失常,尤其是室速、室颤,仍为急性心肌梗塞死亡的主要原因.1982年以来,我们共遇到急性心肌梗塞心跳骤停患者12例,其中4例抢救成功.8例失败,现报道如下,以便同道们从中吸取经验教训.
Seventies, the mortality rate of acute myocardial infarction as high as 30 to 40%, most of whom died of arrhythmias, especially ventricular fibrillation with the establishment of coronary care unit and the improvement of rescue equipment, part of the arrhythmia (VT , Ventricular fibrillation) patients, has been timely detection and rescue.80 years since the mortality rate of acute myocardial infarction dropped to about 10%, the main cause of death was caused by massive myocardial infarction pump failure.But in primary hospital, heart rate Malfunctions, especially ventricular tachycardia and ventricular fibrillation, are still the main causes of death from acute myocardial infarction. Since 1982, we have encountered 12 cases of acute myocardial infarction with cardiac arrest, of which 4 were successfully treated and 8 failed. As below, so that fellow citizens can learn from them.