急性心肌梗塞后远离区心肌缺血患者出院后随访与分析  

Followup survey and analysis of discharged patients with distal myocardial ischemia after acute myocardial infarction

作　　者：高太有[1] 王锦凤[1] 王育勤[1] 余洪军[1] 赵霞[1] 

机构地区：[1]济南市济南军区总医院

出　　处：《中国危重病急救医学》1996年第2期77-78,共2页Chinese Critical Care Medicine

摘　　要：通过６２例急性心肌梗塞（ＡＭＩ）后有远离区心肌缺血患者和５５例无远离区心肌缺血患者的随访资料分析，显示前者再次梗塞（１３例）、左心衰竭（３１例）与猝死（１５例）等发生率均显著高于后者（分别为３例、６例和４例，Ｐ＜０．０５～０．００５）。提示远离区心肌缺血可显著影响ＡＭＩ患者的预后。作者指出，改善患者预后的关键是改善远离区心肌的缺血性改变及早期防治冠心病易患因素，并及时防治梗塞后心绞痛、室性早搏与左心衰竭等。如内科防治措施不奏效时，应考虑外科或介入性治疗。hrough the comparison of the followup information between the 62 patients with distal myocardial ischemia and the 55 patients with nondistal myocardial ischemia after acute myocardial infarction(AMI),the incidence of secondary MI,left heart failure(LHF) and sudden dealth of the former was obviously higher than the latter( P <0.05～0.005).It is suggested that the distal myocardial ischemia has a remarkable influence on the prognosis of the patients with AMI.It is also pointed out that the key to improving the patient's prognosis is to improve the alteration of myocardial ischemia after AMI,and to early eradicate the pathogenic factors of coronary heart disease and to timely prevent and treat angina pectoris,ventricular extrasystoles and LHF after AMI.If the prophylacticotherapeutic measures of medicine do not prove effective,surgery and intertreatment should be considered.

关 键 词：心肌梗塞 心肌缺血 预后 

分 类 号：R542.22[医药卫生—心血管疾病]