急性心肌梗塞患者出院随访及影响预后因素分析  

Analysis of affecting prognosis factors in the patients with acute myocardial infarction

作　　者：韩春英[1] 徐金兰[1] 张承俊[1] 

机构地区：[1]济南市第一人民医院心内科,济南250011

出　　处：《中国地方病防治》2005年第6期375-377,共3页Chinese Journal of Control of Endemic Diseases

摘　　要：目的观察急性心肌梗塞(AMI)临床特点,探讨影响预后因素。方法选择住院治疗的AMI患者100例,分析了临床特点,进行了平均2年的随访,以随访结果死亡与存活两组进行对比分析。结果100例AMI患者中发病<24 h入院者68例,发病≥24 h入院32例。1个部位梗塞55例,2个部位40例,3个部位5例。AMI并发心力衰竭者52例,休克12例,心律失常13例,室壁瘤3例,无并发症者32例。共死亡24例,病死率24%;其中住院期间死亡13例,病死率13%;出院随访死亡11例,病死率11%。死亡与存活对比分析,死亡组年龄大、发病≥24 h入院多、并发症多。24例均有并发症,其中1种并发症15.4%,2种并发症40.0%,3种并发症80.0%。结论发病年龄、入院时间、并发症及梗塞部位是影响预后的因素,梗塞部位多少与预后无关。Objective To observe clinical characteristics and explore affecting prognosis factors of acute myocardial infarction （AMI） .Methods 100 patients with acute myocardial infarction were selected and followed up for 2 years. The visited condition were analyzed by comparing method. Results 68 patients were admitted to hospitals within 24 Hours and 32 patients above 24 Hours in 100 patients with AMI. 55 cases with 1 piece of infarction region, 40 cases with 2 pieces of region, 5 cases with 3 pieces of region. The conditions of complication were 52 cases of heart failures, 12 cases of shock, 13 cases of arrhythmogenic, 3 cases of wall turnouts and 32 cases of no complication. 24 patients died altogether, 13 cases died in hospital and 11 eases died out of hospital. Death cases were older, above 24H admitted to hospital, more complication among patients with AMI.Conclusions Age, time admitted to hospital , complication and infarction region were affecting tactors bat infarction region had no relation to prognosis.

关 键 词：急性心肌梗塞 入院时间 梗塞部位 并发症 

分 类 号：R542.22[医药卫生—心血管疾病]