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心力衰竭是急性心肌梗塞(AMI)常见的临床表现,它直接关系到AMI 的临床诊治和预后。本文分析我院近年来住院诊治的75例AMI 患者的临床资料,结果表明,AMI 患者的心衰发生率与梗塞部位密切相关。广泛前壁AMI 的心衰发生率要明显高于下壁(或)后壁AMI。而单纯下壁(或)后壁AMI 患者在临床上很少发生明显的心衰。因此,如果单纯下壁(或)后壁AMI 患者发生了明显的心衰,临床医生应注意是否存在某些可以诱发心衰的因素(如合并症或并存的疾病),并积极寻找,给以恰当的治疗。
Heart failure is a common clinical manifestation of acute myocardial infarction (AMI), which is directly related to the clinical diagnosis and prognosis of AMI. This article analyzes the clinical data of 75 cases of AMI patients hospitalized in our hospital in recent years, the results show that the incidence of heart failure in patients with AMI and infarction are closely related. AMI in a wide range of anterior heart failure incidence was significantly higher than that of the inferior (or) posterior wall AMI. The simple inferior (or) posterior wall AMI patients clinically rare obvious heart failure. Therefore, if there is significant heart failure in patients with AMI on the inferior posterior wall or posterior wall alone, clinicians should be aware of the existence of certain factors that can trigger heart failure (such as comorbidities or co-morbidities) and actively seek Proper treatment.