急性心肌梗塞后早期心绞痛的临床特点  

Clinical Characteristics of Early Angina Pectoris Following Acute Myocardiac Infarction

作　　者：张变花[1] 黄滨 

机构地区：[1]山西省人民医院,030012 [2]山西省军区第三干休所

出　　处：《山西职工医学院学报》1998年第4期4-6,共3页Journal of Shanxi Medical College for Continuing Education

摘　　要：本组165例急性心肌梗塞中,发病后第2～28天,有梗塞后早期心绞痛56例占33.9％。有心绞痛病史或高血压病史者,在梗塞后有与无心绞痛组中,分别占64.28％与41.28％(P<0.005)、44.64％与30.27％(P<0.05),梗塞后有心绞痛者显著地多于无心绞痛者。非Q波梗塞在梗塞后有心绞痛组显著地多于无心绞痛组(10.72％与2.75％,P<0.05)。住院4周病死率在梗塞后有心绞痛组低于无心绞痛组(1.79％与5.5％)。提示:梗塞后有心绞痛者可能比无心绞痛者冠状动脉血管病变广泛。Of 165 patients with acute myocardiac infarction in this group, early angina pectoris was found in 56 (33.9%) during days 2-28 after the incidence of myocardiac infarction. The incidence of angina pectoris was higher in patients who had a history of angina pecoris or hypertension than in patients without a history of angina pectoris. (64.28 % vs 41.28 %, P < 0.005; 44. 64 % vs 30.27 % ). The incidence of nonware Q infarction was significantly higher in the former than in the latter( 10.72% vs 2.75% , P<0.05) . The mortality of the 4 - week hospitalization was lower in the latter than in the former( 1.79% vs 5.5 % ) . It is suggested that coronary vascular pathogensis may be more extensive in the former than in the latter.

关 键 词：心肌梗塞 心绞痛 

分 类 号：R542.22[医药卫生—心血管疾病]