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本文分析津医附院十年来确诊之急性心肌梗塞419例,男264例,女155例。其中包括急性心内膜下坏死44例。发病后24小时内入院者占73％,一星期内入院者占96％。22年资料表明发病率逐年增高而死亡率有逐年降低趋势。最近5年及3年急性期(发病后8周)死亡率各为26.3％及20.9％,远比以前病例为低。原发性心脏骤停为死亡首要原因,竟占全部死亡的41％。1973年通过加强护理及近代电子监护防治12例表明:心律失常的验出率大大提高而原发性心脏骤停则未发生。急症室或冠心病救护车工作中酌情应用利多卡因或阿托品或其他措施作为防治是有益的。本文于应用溴苄胺组41例的一周内未见原发性心脏骤停,而另一组46例中6例发生,说明溴苄胺预防室颤的意义。速尿或利尿酸在抢救肺水肿中确有良效。还讨论了冠心病防治中的有关问题。
In this paper, 419 cases of acute myocardial infarction diagnosed over 10 years in Jin Affiliated Hospital were analyzed, including 264 males and 155 females. Including 44 cases of acute subendocardial necrosis. Within 24 hours after onset of admission accounted for 73% of patients within a week accounted for 96%. 22 years of data show that the incidence increased year by year and the mortality rate has decreased year by year. Mortality rates in the acute phase (8 weeks after onset of illness) in the recent 5 and 3 years were 26.3% and 20.9% respectively, much lower than in the previous cases. Primary cardiac arrest was the leading cause of death, accounting for 41% of all deaths. In 1973 through strengthening care and modern electronic monitoring of prevention and treatment of 12 cases showed that: the detection rate of arrhythmia greatly improved the primary cardiac arrest did not occur. It is beneficial to use lidocaine or atropine or other measures as appropriate in the control of A & amp; E or CHD ambulances. This article in the bromobenzyl group 41 cases of primary cardiac arrest within a week, while the other 46 cases occurred in 6 cases, indicating that brombenzyl amine to prevent the significance of ventricular fibrillation. Furosemide or uric acid in the rescue of pulmonary edema does have good effect. Also discussed in the prevention and treatment of coronary heart disease related issues.