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AMI为内科急症,AMI合并上消化道出血使病情更加严重,给治疗带来了很大困难。我院于1986年以来,应用以西药为主治疗急性心肌梗塞,以中药为主治疗上消化道出血。8年共收治急性心肌梗塞合并上消化道出血16例,疗效显著。 1 临床资料 1.1 一般资料:以冠心病、心绞痛住院9例,以上消化道出血入院4例,以胆囊炎、胆结石住院3例。年龄分布:55～60岁2例,60～70岁9例,70岁以上5例。其中男13例,女3例。发生室性早搏7例,室颤4例(病后2～3天查心肌酶:CPK-MB、LDH、GOT升高者15例,正常1例)。诊断符合《临床疾病诊断标准与国家体检标准》中急性心肌梗塞诊断。
AMI for medical emergency, AMI combined with upper gastrointestinal bleeding to make the condition worse, to treatment has brought great difficulties. Our hospital since 1986, the application of western medicine mainly for the treatment of acute myocardial infarction, Chinese medicine mainly for the treatment of upper gastrointestinal bleeding. 8 years were treated with acute myocardial infarction complicated by upper gastrointestinal bleeding in 16 cases, a significant effect. 1 Clinical data 1.1 General Information: Coronary heart disease, angina pectoris hospitalized in 9 cases, more than 4 cases of gastrointestinal bleeding admitted to cholecystitis, gallstone hospitalization in 3 cases. Age distribution: 55 ~ 60 years in 2 cases, 60 to 70 years in 9 cases, 70 years of age in 5 cases. There were 13 males and 3 females. Premature ventricular contractions occurred in 7 cases, 4 cases of ventricular fibrillation (2 to 3 days after the disease check myocardial enzymes: CPK-MB, LDH, GOT elevated in 15 cases, normal in 1 case). Diagnosis in line with “clinical disease diagnostic criteria and national medical standards” in the diagnosis of acute myocardial infarction.