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目的:研究急性心肌梗死(AMI)的临床特点。方法:对2008年1月到2010年12月期间来我院就诊的心肌梗死患者的临床特点、治疗情况、发病情况进行分析。结果:在120名患者中无痛型心肌梗死占56.45%,异位疼痛心肌梗死占43.55%,且经常出现不该有的心血管体征,如胸闷、大汗、昏厥、心悸、心律失常、呕吐、恶心等症状,或合并高血压、糖尿病等。120名患者中治愈62例,好转53例,死亡5例,其中死于严重心律失常2例,死于心源性休克2例,1例抢救无效死亡。结论:医护人员要提高对急性心肌梗死(AMI)的救治能力,对患者的病情进行细致的观察,采取相应、合理的科学措施,才能够预防各种并发症,减少病死率。
Objective: To study the clinical features of acute myocardial infarction (AMI). Methods: The clinical features, treatment and incidence of myocardial infarction patients who came to our hospital from January 2008 to December 2010 were analyzed. Results: In 120 patients, painless myocardial infarction accounted for 56.45%, ectopic pain and myocardial infarction accounted for 43.55%, and often should not have some cardiovascular signs such as chest tightness, sweating, syncope, heart palpitations, arrhythmia, vomiting , Nausea and other symptoms, or with hypertension, diabetes and so on. Among 120 patients, 62 cases were cured, 53 cases improved and 5 died. Among them, 2 died of severe arrhythmia, 2 died of cardiogenic shock and 1 died of ineffective rescue. Conclusion: The medical staff should improve the rescue ability of acute myocardial infarction (AMI), observe the patient’s condition carefully and adopt appropriate and reasonable scientific measures to prevent various complications and reduce the mortality.