不同范围的急性心肌梗死患者临床特征比较  

Comparison of clinical characteristics between small and large size acute myocardial infarction

作　　者：黄震华[1] 朱雅琴[1] 朱文敏[1] 许左隽[1] 顾燕[1] 

机构地区：[1]上海第二医科大学附属第九人民医院心血管病研究室,200011

出　　处：《中国综合临床》2002年第4期304-306,共3页Clinical Medicine of China

摘　　要：目的比较小范围和大范围急性心肌梗死患者临床特征和早期病死率。方法对 416例急性心肌梗死患者按照 Wagner的 QRS评分法分为小范围心肌梗死组 2 5 1例和大范围心肌梗死组 165例。结果大范围心肌梗死组有高血压病史的比例较高 ,入院时心率较快 ,临床和超声心动图测得的心功能较差 ,心源性休克发生率较高。小范围心肌梗死组早期病死率 13.94% ,大范围心肌梗死组早期病死率 33.33%。结论 QRS评分法对判断急性心肌梗死患者预后具有重要意义。Objective To compare the clinical characteristics and early mortality rates between small and large size acute myocardial infarction.Methods 416 cases of acute myocardial infarction patients were divided into small (251 cases) and large size myocardial infaction group (165 cases) according to Wagner's QRS scoring.Results Large size acute myocardial infarction group had higher percentage of hypertension history and cardiac shock, faster heart rate on admission, poorer clinical and echocardiographic cardiac function. The early mortality rates were 13.94% in small size acute myocardial infarction group and 33.33% in large size acute myocardial infarction group.Conclusion QRS scoring is helpful for identifying prognosis of acute myocardial infarction patients

关 键 词：急性心肌梗死 梗死范围 心功能 早期病死率 临床特征 

分 类 号：R542.22[医药卫生—心血管疾病]