80例心肌梗塞患者远期心功能的调查分析  

Investigation of Long-term Cardiac Function on 80 Cases of AMI

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作  者:高春瑞[1] 康兴平[1] 曹晶晶[1] 芦清荣 旷春芬 

机构地区:[1]中国人民解放军第二五四医院

出  处:《天津医药》1984年第3期139-143,共5页Tianjin Medical Journal

摘  要:心功能不全是心肌梗塞后主要症状,心衰是梗塞后远期死亡的第一位原因,对预后影响最大。为了了解心肌梗塞患者远期心功能的变化并探讨其影响因素。In order to know the long-term change of cardiac function after AMI and to find its influential factors, on 80 AMI patients treated in our hospital during the past 10 years. We visited and re-examins them, and the results were analyzed. We discern 24 cases (30%) who have heart function decreased to degree 3-4, Female patient, old individual AMI of larger area and those complicated with heart failure during the acute stage the decrease in cardiac function is more severe. Continue to have angina after AMI, persistant hypertension, and indicating ventricular aneurysm in ECG, the cardiac function was also poor. X-ray cardiac measurement was done on 35 patients, about 1/3 of them show cardiac enlargement. To 54 cases we make UCG examination, and found that the left atrium and left ventricle are enlarged in accord with the poor (?)ardiac function. However, in some patients whose cardiac function is still good, there are 3 cases also showed obvious cardiac enlargement.

关 键 词:心功能 心功能不全 心衰 心肌梗塞 冠心病 患者 调查分析 

分 类 号:R54[医药卫生—心血管疾病]

 

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