本文作者报告经32年观察4150例预防性用利多卡因(li docaine)的急性心肌梗死(AMI)患者,其结果是明显降低了原发性心室颤动的发生率及病死率。研究在1970～2002年进行,头26年全部AMI入院后均预防性用了利多卡因,到1996年AHA/ACC指南出版后,预防性利多卡因被慎用,这些患者便构成 The authors report that after 32 years of observing 4150 patients with prophylactic use of li docaine for acute myocardial infarction (AMI), the outcome was a significant reduction in the incidence of primary ventricular fibrillation and mortality. The study was conducted between 1970 and 2002 with lidocaine prophylactically administered after all AMI admission in the first 26 years. Prophylactic lidocaine was used with caution following the publication of the AHA / ACC guidelines in 1996, and these patients constituted