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目的进一步探索急性心肌梗死(AMI)的发病规律,提高防治水平。方法统计分析2003年1月-2007年12月收住我科的381例急性心肌梗死病人的临床资料。结果收治病人数逐年增加,2007年为2003年的2.34倍。男女性别比为2.07∶1,女性发病年龄较男性晚10年。仍有近半数病人发病1天后才就诊,从而延误了最佳治疗时间。非ST段抬高性急性心肌梗死(NSTEMI)发病率约为10%,接受溶栓治疗的病人147例,占38.58%,再通率约为60%。总病死率为11.25%,主要死亡原因为心源性休克。结论起病后尽快就医,尽快打通相关梗死动脉,能减少并发症,降低病死率。
Objective To explore the pathogenesis of acute myocardial infarction (AMI) and to improve the prevention and treatment of AMI. Methods The clinical data of 381 acute myocardial infarction patients admitted to our department from January 2003 to December 2007 were statistically analyzed. Results The number of patients admitted increased year by year, in 2007 to 2.34 times in 2003. The male-female ratio was 2.07: 1, and the incidence of women was 10 years later than that of men. Nearly half of patients still receive treatment after 1 day of onset, which delays the optimal treatment time. The incidence of non-ST elevation acute myocardial infarction (NSTEMI) is about 10%. Thrombolytic therapy in 147 patients, accounting for 38.58%, the recanalization rate of about 60%. The overall case fatality rate was 11.25%, the main cause of death was cardiogenic shock. Conclusion As soon as possible after onset of medical treatment, as soon as possible to open up the relevant infarct artery, can reduce complications and reduce mortality.