急性心肌梗死时伴恶心呕吐的临床意义探讨  

Clinical significance of nausea and vomiting during acute myocardial infarction

作　　者：张燕波[1] 姜东炬[1] 胡高频[1] 付荣[1] 王冬冬[1] 

机构地区：[1]解放军第210医院心血管内科,辽宁大连116021

出　　处：《临床军医杂志》2014年第9期886-887,956,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨急性心肌梗死(AMI)时伴恶心、呕吐的临床意义。方法选取AMI患者152例,根据是否存在恶心、呕吐症状,分为研究组及对照组,对比分析两组患者的临床资料。结果研究组的TNI、CKMB、BNP测量峰值以及心律失常、心力衰竭、心源性休克发生率和住院死亡率均较对照组高(P<0.05)。结论心源性呕吐是AMI患者梗死面积大、并发症多、病死率高的重要预测指标。Objective To evaluate the clinical significance of nausea and vomiting during acute myocardial infarction. Methods A total of 152 patients with acute myocardial infarction （AMI） were divided into two groups on the basis of symptoms of nausea and vomiting, i.e. Group A with nausea and vomiting and control group without nausea and vomiting. The clinical data of the two groups were compared. Results The peak of troponin I, creatine kinase isozyme and brain natriuretic peptide and the incidence rate of arrhythmia, heart failure and cardiac shock were higher in Group A than in Group B （ P 〈 0.05 ）. Conclusion Cardiac vomiting is significant in predicting infarct size, complication and case fatality of AMI.

关 键 词：急性心肌梗死 恶心 呕吐 预测指标 

分 类 号：R542.22[医药卫生—心血管疾病]