【摘要】 <正> 急性心肌梗塞(AMI)发病急,病死率高,死亡中50～60%发生在医院外,40%死于出现症状后24小时内。近年来由于能早期及时治疗、监护,病死率已有下降,但死于泵衰者却相对增多。为探讨 AMI 的死亡原因及有关因素,特将我科11年半以来 AMI病例在住院期间的死亡原因作一回顾性分析。更多还原

【Abstract】 One hundred eightynine AMI cases were admitted in the past 11.5 years; the hos-pital fatality rate was 21.69% (41/189).24 patients died of pump failure (58.53%),the incidence of pump failure was much higher in the≥60 yr group and anterior myo-cardial infarction (16.94% and 15.84%,respectively) than in<60 yr group and inferiorMI(5.63% and 6.25%,respectively) (P<0.05).12 died of PSCD(29.36%),the incidenceof which not related to the age of the patient and the site of infarction.Those whodied of pump failure were mostly (73.17%) within one week of admission,while 40%of those died of PSCD in more than one week after admission.Intravenous lidocaine and oral pronestyl were used to prevent from arrhythmia,lidocaine initiated immediately on admission and continued for 48 hours; and prones-tyl on the second day of admission and continued till the patient was discharged.It was suggested that the incidence of PSCD could be reduced by the administra-tion of lidocaine and pronestyl in patients with AMI.However,the administration ofpronestyl was only the author’s experience,more clinical data were necessary beforea conclusion could be made.更多还原