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目的分析14962例急性心肌梗死(AMI)患者的临床特征。方法用SAS604软件统计分析14962例AMI患者的4周总病死率和并发症。结果14962例AMI患者临床特征为:男性病人73.9%;平均年龄61.2±10.7岁;有心肌梗死、高血压、糖尿病病史者分别占12.2%,40.4%,9.4%;基础血压126.6±24.3/81.3±14.6mmHg;基础心率79.3±18.8min-1。试验4周期间主要并发症心力衰竭为17.9%,休克4.6%,心室颤动3.2%,其他类型的心跳骤停2.3%,Ⅱ~Ⅲ度房室传导阻滞5.2%,室性心动过速3.6%,梗塞扩展4.8%,脑卒中1.2%,心脏破裂0.5%。总病死率(28d)为9.43%,死于泵衰竭为3.25%,死于心律失常为4.56%。
Objective To analyze the clinical features of 14962 patients with acute myocardial infarction (AMI). Methods SAS604 software was used to analyze the 4-week total mortality and complications of 14962 AMI patients. Results The clinical features of 14962 AMI patients were as follows: male patients 73.9%; average age 61.2 ± 10.7 years; patients with history of myocardial infarction, hypertension and diabetes accounted for 12.2%, 40.4%, 9 .4%; basal blood pressure 126.6 ± 24.3 / 81.3 ± 14.6mmHg; basal heart rate 79.3 ± 18.8min-1. The major complications during the 4-week trial were 17.9% with heart failure, 4.6% with shock, 3.2% with ventricular fibrillation, 2.3% with other types of cardiac arrest, and with Ⅱ-Ⅲ atrioventricular block. 2%, ventricular tachycardia 3.6%, infarct expansion 4.8%, stroke 1.2%, heart rupture 0.5%. The overall case fatality rate (28 days) was 9.43%, death from pump failure was 3.25% and arrhythmia was 4.56%.