论文部分内容阅读
总结急性心肌梗塞(AMI) 住院期间死亡并行尸体解剖检查63 例,就其尸解结果与临床资料进行对比分析,以助于减少AMI的并发症,提高生存率。按年龄分为3 组,结果表明,从AMI发病到死亡时间无明显差异( P > 0 .05) 。Ⅲ组心肌梗塞多见于下壁,占64 % ( P < 0 .O5) 。多部位梗塞发生率高,占64 % 。再次梗塞、心力衰竭、严重心率失常等并发症明显高于其他两组( P < 0 .01 , P < 0 .05 , P <0-01) 。溶栓治愈率低,占7 % ( P < 0 .05) 。但心脏破裂及心肌出血高于其他两组,特别是心肌出血明显升 高,占86 % ( P < 0 .05) 。总之,高龄AMI比低龄组有更多导致死亡的危险因素,即AMI死亡的独立预报因子。
Conclusions Acute myocardial infarction (AMI) died during hospitalization in parallel with autopsy 63 cases of autopsy results and clinical data were analyzed to help reduce the complications of AMI and improve survival. Divided into three groups according to age, the results showed that there was no significant difference between the onset of AMI and the time of death (P> 0.05). Group Ⅲ myocardial infarction more common in the inferior wall, accounting for 64% (P <0. Multi-site high incidence of infarction, accounting for 64%. Again, complications such as infarction, heart failure and severe arrhythmia were significantly higher than those in the other two groups (P <0.01, P <0.05, P <0.01). Thrombolytic cure rate is low, accounting for 7% (P <0 .05). However, heart rupture and myocardial hemorrhage were higher than the other two groups, especially myocardial hemorrhage was significantly increased, accounting for 86% (P <0 .05). In conclusion, older AMIs had more risk factors for death than younger children, ie, independent predictors of AMI death.