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目的总结急性冠脉综合症临床治疗经验。方法对2008-2010年秦安县中医院15例急性冠脉综合症的临床资料进行回顾性分析。结果:15例中8例出现急性心肌梗塞合并急性左心衰;5例合并心律失常;两例阵发性室性心动过速;3例频发室早伴Ⅲ度房室传导阻滞;2例心源性休克。其中6例死亡。另有3例阿-斯综合症。结果最终6例治愈,3例好转,6例死亡。预后效果差,随诊不理想。结论急性冠脉综合症病情危重,病死率高;并发症伴发病多,要及时有效采取治疗措施,才能改善预后。
Objective To summarize the experience of clinical treatment of acute coronary syndrome. Methods The clinical data of 15 cases of acute coronary syndrome in Qin’an Hospital of TCM from 2008 to 2010 were analyzed retrospectively. Results: Among the 15 cases, 8 cases had acute myocardial infarction complicated by acute left heart failure, 5 cases had arrhythmia, 2 cases had paroxysmal ventricular tachycardia, 3 cases had frequent AV chamber with Ⅲ degree atrioventricular block, 2 Cases of cardiogenic shock. Six of them died. Another three cases of Alzheimer’s syndrome. Results The final 6 cases were cured, 3 cases improved, 6 died. Poor prognosis, follow-up is not ideal. Conclusions Acute coronary syndrome (ACS) is critically ill and has a high case fatality rate (CFR). There are many complication and complications, and timely and effective treatment should be taken to improve the prognosis.