论文部分内容阅读
作者比较了200例冠心病监护病房的复发性心肌梗死病人和同期入院的680例首次梗死病人的住院死亡率,以提供关于有过梗死的急性心肌梗死病人近期预后的资料。急性心肌梗死的诊断根据典型的胸痛史,出现诊断性Q波和血清酶的变化。如以往梗死史也符合上述标准才诊断复发性梗死。在住院的最初28天为近期预后期。结果880例冠心病鉴护病房的急性心肌梗死病人,147例(18.4％)在梗死后28天内死亡。首次和复发性梗死两组病人的年龄、性别、梗死的部位和大小及危险因素的发生率均相似。复发性梗死病人心源性休克较首次梗死者常见(P<0.01)。复发性梗死病人的住院死亡率和致死性心力衰竭的发生率也较首次
The authors compared in-hospital mortality in 200 patients with coronary heart disease in a coronary care unit and in 680 patients with first-time infarction who were admitted to the hospital during the same period to provide information on the near-term prognosis of patients with infarcted acute myocardial infarction. Diagnosis of acute myocardial infarction According to the typical history of chest pain, a diagnosis of Q wave and serum enzyme changes. As in the past history of infarction also meet the above criteria before diagnosis of recurrent infarction. The first 28 days of hospitalization are the near term prognosis. Results A total of 147 patients (18.4%) died of acute myocardial infarction in 880 CHD patients within 28 days after infarction. The first and recurrent infarction patients in two groups of age, gender, infarction size and risk factors were similar. Cardiogenic shock in patients with recurrent infarction is more common than in first infarct (P <0.01). The incidence of hospital mortality and fatal heart failure in patients with recurrent infarction was also the first