目前,心源性休克是急性心肌梗塞(AMI)住院患者死亡的最常见原因,约占80%以上。本文分析住院患者心源性休克的发生率、危险因素、梗塞扩展的作用和预后。病人和方法 849例年龄<76岁,典型心肌缺血性胸痛≥30min,胸痛发生后18h 内住院,心电图提示急性心肌缺血或进展性 MI,有 MI 的血浆酶学改变,住院时无心源性休克的患者。住院后根据该院的 At present, cardiogenic shock is the most common cause of death in hospitalized patients with acute myocardial infarction (AMI), accounting for more than 80%. This article analyzes the incidence of cardiogenic shock in hospitalized patients, risk factors, the role of infarction expansion and prognosis. Patients and Methods 849 patients were under 76 years of age with typical myocardial ischemic chest pain ≥30 minutes and were hospitalized within 18 hours after onset of chest pain. ECG showed acute myocardial ischemia or progressive MI and plasma enzymatic changes with MI. Shock patients. After hospitalization according to the hospital