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作者分析未接受溶栓治疗的Q波型急性心肌梗塞(AMI)患者近期预后与某些临床指标的相关性,探讨早期(第4天)出院的可行性。 对象为1985年1月至1986年11月间入院的连续358例未接受溶栓治疗和无搭桥手术史的AMI患者,均在CCU常规治疗4天,期间39例死亡,9例再梗塞,168例发生心力衰竭、心律失常或梗塞后心绞痛等并发症。其余142例无临床症状(指最近24小时内无胸
The authors analyzed the recent prognosis of patients with Q-wave acute myocardial infarction (AMI) who did not undergo thrombolysis and their association with certain clinical criteria and explored the feasibility of early (day 4) discharge. Thirty-five consecutive AMI patients who were admitted to our hospital between January 1985 and November 1986 without thrombolysis or bypass surgery were treated with CCU for 4 days, with 39 deaths, 9 reinfarctions, 168 Cases of heart failure, arrhythmia or angina pectoris and other complications. The remaining 142 patients without clinical symptoms (referring to the last 24 hours without chest