急性心肌梗死10年病例分析  

An analysis of 10 years’cases of acute myocardiac infarction

作　　者：王刚民[1] 王旭东[2] 杨平礼[1] 田献民[1] 

机构地区：[1]安徽省涡阳县医院内科,233600 [2]江苏省南京市鼓楼医院内科,210000

出　　处：《淮海医药》2006年第3期190-191,共2页Journal of Huaihai Medicine

摘　　要：目的了解近年来急性心肌梗死（AMI）发病情况、临床特点及某些生化变化.方法对我院1995年1月～2004年12月10年258例AMI住院病例进行统计分析.结果AMI及占同期所有病种百分比逐年升高;城镇人口发病率高于农村;60～79岁发病率最高,男性发病年龄较轻;体力活动促发者最多;先兆症状多为胸痛和/或胸闷;前壁多于下壁;部分病例反映出血清胆红素及血糖早期比较高,血糖重症较轻症高.结论AMI发病逐年增多,与性别、年龄、生活环境及生活方式有关,最好发部位为前壁,部分病例有促发因素及先兆症状,血清胆红素和血糖均有变化.Objective To investigate the situation of the acute myocardiac infarction （AMI） of recent years in terms of its epedemiology, clinical features and biochemical variations. Methods 258 in-patients with AMI （dating from December 2004 to January 1995） were statistically analyzed. Results The onset and its percentage among all homochronous diseases have arisen annually. The morbidity rate was higher in urban cities than in the countryside. The aged （60～79 years old） had the highest morbidity rate. Young males tended to be attacked easily, especlally among mannual workers. Among precursory symptoms were chest pain and/or chest distress. More symptoms were observed in the anterior wall than in the inferior wall. Comparatively higher serum bilirubin and early blood glucose were typical of some cases. Conclusion The onset of AMI has the tendency of annual increase, which is associated with gender, age, living surroundings and life styles. The anterior wall is the likeliest location. Precipitating factors and precursory symptoms are observed in some cases. Changes may occur in serum bilirubin and blood glucose.

关 键 词：心肌梗死 急性病 数据收集 回顾性研究 

分 类 号：R542.22[医药卫生—心血管疾病]