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本文分析了1980～1985年收住冠心病监护室246例急性心肌梗塞(AMI)病人的临床资料。该病急性期(8周内)住院病死率1971～1974年为27.0%,1975～1979年为12.8%,1980～1985年降至10.6%。对其发病趋势和主要临床特征进行了总结。认为,病死率下降可能与下列因素有关:严密监护;及时防治心律失常;血管扩张剂治疗心衰;透明质酸酶、尿激酶、极化液缩小梗塞范围等。为进一步降低病死率,今后的研究重点是:防止心脏破裂和再梗塞;加强对老年AMI的防治;调节心脏前后负荷维护心脏泵功能。
This article analyzes the clinical data of 246 patients with acute myocardial infarction (AMI) admitted to the CHD from 1980 to 1985. The acute stage of the disease (8 weeks) in-hospital mortality was 27.0% from 1971 to 1974, from 1975 to 1979 was 12.8% from 1980 to 1985 to 10.6%. The incidence trends and the main clinical features were summarized. That the decline in mortality may be related to the following factors: close care; timely prevention and treatment of arrhythmia; vasodilators treatment of heart failure; hyaluronidase, urokinase, the scope of the reduction of the polarization fluid infarction. In order to further reduce the mortality, the focus of future research is: to prevent heart rupture and re-infarction; to strengthen the prevention and treatment of senile AMI; adjust the heart before and after the load to maintain cardiac pump function.