急性心肌梗塞早期合并恶性室性心律失常临床分析  

Clinical Analysis of Malignant Ventricular Arrhythmias Complicated With Early Acute Myocardial Infarction

作　　者：李立 

机构地区：[1]辽宁省抚顺市中医院,113008

出　　处：《中国继续医学教育》2015年第6期51-52,共2页China Continuing Medical Education

摘　　要：目的：分析急性心肌梗塞（AMI）早期合并恶性室性心律失常患者的临床特征。方法以我院2014年1月～2013年2月期间收治的121例急性心肌梗塞患者作为观察对象，根据心电图检查结果将其分为A组（单纯下壁心肌梗死患者，56例）、B组（下壁并发前壁心肌梗死患者，53例）与C组（下壁、正后壁合并右室心肌梗死患者，12例），随访30d，对比各组患者心力衰竭与恶性室性心律失常的发生率及病死率。结果本组共发生心力衰竭32例；室性心律失常57例；病死率为16.53%；其中A组发生心力衰竭9例，恶性室性心律失常12例，死亡2例，A组的心力衰竭、室性心律失常发生率与病死率均明显低于B组与C组，具有统计学意义，P＜0.05。结论通过观察AMI患者的临床症状，可以及时发现并发症的早期症状，给予相应处理，减少病死率。Objective Analysis of AMI complicated with early clinical features of malignant ventricular arrhythmia patients.Methods 121 patients with acute myocardial infarction patients from 2014 Jan to 2013 Feb as the observation object, who were divided into group A, group B and group C,comparethe incidence rate and mortality in patients with heart failure d with malignant ventricular arrhythmia.ResultsThere were 32 cases of heart failure; ventricular arrhythmia in 57 cases; the fatality rate was 16.53%; the A group of heart failure in 9 cases, 12 cases of malignant ventricular arrhythmia, 2 cases of death, A group of heart failure, ventricular arrhythmia incidence and mortality were significantly lower than that of B group and C group, with statistical significance,P〈0.05.Conclusion Through the observation of the clinical symptoms of patients with AMI, can ifnd early symptoms of complications, to give the corresponding treatment, reduce the fatality rate.

关 键 词：急性心肌梗塞(AMI) 恶性室性心律失常 胺碘酮 

分 类 号：R711.74[医药卫生—妇产科学]