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目的探讨急性心肌梗死并发急性左心衰竭的疗效及特点。方法选取我院2015年1月~2017年1月接诊的急性心肌梗死并发急性左心衰竭的患者88例,对患者的临床资料进行回顾性分析,并对所有患者进行调脂、抗血小板凝聚、抗心脏内分泌以及防心脏重构、血管扩张剂、利尿剂等治疗,对于发病伴随急性肾功能衰竭的患者进行腹膜透析;对于伴随急性呼吸衰竭的混着进行无创机械或气管插管机械通气。观察患者的疗效。结果患者治疗后显效48例,有效24例,总有效率为81.82%,死亡率为18.18%(16例),因急性心力衰竭死亡8例,呼吸功能衰竭死亡5例,肾功能衰竭死亡3例。结论急性心肌梗死并发急性左心衰竭的病情较为严重,需要及时处理心力衰竭、呼吸功能以及肾功能衰竭症状,提高疗效,挽救患者的生命。
Objective To investigate the efficacy and characteristics of acute myocardial infarction complicated by acute left heart failure. Methods Eighty-eight patients with acute myocardial infarction complicated with acute left heart failure admitted to our hospital from January 2015 to January 2017 were retrospectively analyzed, and all patients were given lipids, anti-platelet aggregation , Anti-cardiac endocrine and anti-cardiac remodeling, vasodilators, diuretics and other treatment for peritoneal dialysis patients with acute renal failure; for non-invasive mechanical or endotracheal mechanical ventilation accompanied with acute respiratory failure. Observe the efficacy of the patient. Results After treatment, 48 cases were effective and 24 cases were effective. The total effective rate was 81.82%, the mortality rate was 18.18% (16 cases), 8 cases died of acute heart failure, 5 cases died of respiratory failure, 3 cases died of renal failure . Conclusion The acute myocardial infarction complicated by acute left heart failure is more serious and needs prompt treatment of symptoms of heart failure, respiratory function and renal failure to improve the curative effect and save the patient’s life.