【摘要】 目的 :观察急性心肌梗死 (AMI)患者急性期血流动力学的改变 ,分析血流动力学参数与心性事件的关系并识别预后因素。方法 :用无创 CF- 型心血管功能检诊仪检测确诊的 6 3例 AMI患者的血液动力学各参数 ,根据住院期间有无发生心性事件 (包括再梗死、心原性休克、新发急性左心衰、室颤和心原性死亡 )分为心性事件组 ( 组 )和无心性事件组 ( 组 )。发生任何一项心性事件即归入 组 ;否则归入 组。结果 : 组与 组比较 :MAP、MSP、 MDP、CO、CI、EF、VFI、TPF、VEW非常显著下降 (P<0 .0 0 1)。结论 :血压、CO、CI、EF等血流动力学参数与心性事件的关系密切 ,其异常是 AMI患者住院期间发生心性事件的预后因素。监测 AMI患者上述参数 ,有助于提高治疗工作的预见性与针对性更多还原

【Abstract】 Objective:To observe initial hemodynamic changes in patients with acute myocardial infarction (AMI),judge the relationship of such changes with cardiac events in the early stage,and assess the short\|term prognostic significance of hemodynamic parameters.Methods:Hemodynamic parameters were measured in 63 patients who were diagnosed as AMI by CF\|Ⅱ cardiovascular function detector.Those who had one of such cardiac events as reinfartion,cardiogenic shock,new onset of congestive heart failure,ventricular fibrillation and cardiogenic death went into group Ⅰ,and who had no such cardiac events went into group Ⅱ.Results:Group Ⅰ showed a very significant decrease in MAP,MDP,MSP,CO,CI,EF,VFI,TPF,VEW( P <0 001),that were closely related to cardiac events in the early stage.Conclusion:Hypotension,low cardiac output and reduced cardiac function are prognostic factors contributing to cardiac events during hospital stay,suggesting that contribute to predictive and purposive treatment.更多还原