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目的 :探讨基层医院急性心肌梗塞 (AMI)急性期死亡病例的临床特点。方法 :对近年住院的AMI连续病例中死亡的 2 6例进行回顾分析。结果 :病死率 14 77%。其中 ,≤ 6 0岁组 6 94% ,>6 0岁组 2 0 19% ;单部位梗塞组 7 84% ,多部位组 2 4 32 % ;下壁组 6 90 % ,前壁组 2 0 93%。其差异均有显著意义 (P <0 0 5 )。结论 :基层医院AMI病死率仍较高 ,增加各地病死率的可比性 ,有赖诊疗措施及统计方法的统一。严重泵衰仍是致死的首要原因。高龄、累及前壁和多部位梗塞是降低病死率的重要障碍。基层医院AMI的规范诊治、溶栓等急救措施的宣传开展仍需加强
Objective: To investigate the clinical characteristics of acute death in acute myocardial infarction (AMI) in primary hospitals. Methods: A retrospective analysis was performed on 26 deaths in consecutive AMI cases hospitalized in recent years. Results: The mortality rate was 14.77%. Among them, 694% of patients younger than 60 years old, 2019% of patients over 60 years of age, 7 84% of single infarction group, 2432% of multi-site group, 690% of inferior wall group and 2 0 93 of anterior wall group %. The difference was significant (P <0 05). Conclusion: The mortality rate of AMI in primary hospitals is still relatively high, which increases the comparability of mortality rates around the country. It depends on the unity of diagnosis and treatment measures and statistical methods. Serious pump failure is still the leading cause of death. Older age, involving the anterior wall and multi-site infarction is an important obstacle to reduce mortality. Grass-roots hospital AMI standard diagnosis and treatment, thrombolytic and other emergency measures advocacy still need to be strengthened