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本文对61例急性无 Q 波型心肌梗塞患者的临床多项单因素(是否合并糖尿病、高血压,高脂血症、吸烟史、陈旧心肌梗塞、梗塞后心绞痛、心脏扩大及性别、年龄)及急性期心电图改变类型与预后的关系进行分析,结果提示:(1)合并存在糖尿病、陈旧心肌梗塞、梗塞后心绞痛、心脏扩大及老年组病人,其严重并发症及病死率明显增高;(2)在心电图表现为 ST 段严重压低组(平均压低值 (?)↓0.2mv)其并发症及病死率显著增加,尤以 (?)↓≥0.2mv 并陈旧心肌梗塞史组的预后更为不佳。
In this paper, 61 patients with acute Q-wave myocardial infarction in patients with a number of clinical factors (whether diabetes, hypertension, hyperlipidemia, smoking history, old myocardial infarction, post-infarction angina, heart enlargement and gender, age) The results showed that: (1) patients with diabetes, old myocardial infarction, post-infarction angina pectoris, heart enlargement and old age group had severe complications and mortality significantly increased; (2) Complications and mortality were significantly increased in patients with severe ST-segment depression (mean depression (?) ↓ 0.2 mv), especially in the electrocardiogram (?) 00.2 mv and in the older myocardial infarction group .