本文报道了急性心肌梗塞住院后期因室颤猝死3例。认为,广泛前壁心肌梗塞(不论CCU期有无严重室性心律失常),ST段抬高显著且恢复较慢,酶学增高明显,入院初期有左心衰竭或心衰未能控制者,容易在住院后期发生严重室性心律失常导致猝死。住院后期的处理应做相应调整。 This article reports 3 cases of sudden death from ventricular fibrillation in the late period of hospitalization for acute myocardial infarction. That a wide range of anterior myocardial infarction (regardless of CCU with or without severe ventricular arrhythmias), ST segment elevation was significant and slow recovery, increased enzymology, early admission of left heart failure or failure to control heart failure, easy Severe ventricular arrhythmia in the late hospitalization leads to sudden death. Late treatment should be adjusted accordingly.