本文报告我科1981～1985年收治的急性心肌梗塞患者209例,8周内住院病死率为9.6%。死于泵衰竭、心脏骤停及心脏破裂者分别占死亡病例的60.0%、25.0%及15.0%。与1971～1980年死亡病例相比,死于泵衰竭及心脏破裂者比例显著增高,而死于心脏骤停者有所降低。死因与高龄、梗塞面积、再梗塞以及住院晚期心律失常所致猝死有关。 This article reports 209 cases of acute myocardial infarction admitted to our department from 1981 to 1985, with an in-hospital mortality rate of 9.6% within 8 weeks. Deaths from pump failure, cardiac arrest and heart failure accounted for 60.0%, 25.0% and 15.0% of the deaths, respectively. Compared with the deaths from 1971 to 1980, the percentage of those who died of pump failure and heart rupture was significantly higher, while those who died of cardiac arrest were reduced. The cause of death and old age, infarct size, and then infarction and hospitalized late arrhythmia caused by sudden death.