近三十年来,急性心梗的治疗发生了很大变化。第一阶段,由于心电监护器的应用,心梗并发症得以及时治疗,死广率由30％～40％降至15％～20％,死亡原因由原来以心律失常为主变为以左室泵衰竭和心源性体克为主。七十年代,由于用药可降低梗死区心肌氧耗,死亡率进一步下降。八十年代,由于溶栓治疗的引入并广泛应用,死亡率降至6％～11％。最近的研究指出,在心梗早期行PTCA,死亡率和并发症还可进一步降低。 Nearly three decades, the treatment of acute myocardial infarction has undergone great changes. The first phase, due to the application of ECG, myocardial infarction complications can be treated in time, the mortality rate from 30% to 40% to 15% to 20%, the cause of death from the original arrhythmia into the left Room pump failure and cardiogenic body grams based. Seventies, due to medication can reduce myocardial oxygen consumption in infarction area, the mortality rate dropped further. In the 1980s, the mortality rate dropped to 6% to 11% due to the introduction and widespread use of thrombolytic therapy. Recent research indicates that in the early stage of myocardial infarction PTCA, mortality and complications can be further reduced.