急性心肌梗死合并急性左心衰52例治疗和死亡原因分析

目的评价急性心肌梗死合并急性左心衰患者的临床疗效,为临床治疗提供参考。方法回顾分析52例心肌梗死合并急性左心衰患者运用传统药物治疗的效果。结果显效55.7%,有效5.4%,死亡28.8%,死于心功能衰竭者8例,死于肾功能衰竭和呼吸衰竭者7例。3例出现急性肾功能衰竭者全部死亡,出现急性呼吸功能衰竭15例（28.8%）,死亡4例。结论急性心力衰竭、急性肾功能衰竭和急性呼吸功能衰竭是急性心肌梗死合并急性左心衰致死的高危因素。

Management and Outcome of 52 Patients with Acute Myocardial Infarction Complicating Acute Left Heart Failure

Objective To evaluate the clinical outcomes of patients with acute myocardial infarction（AMl） complicating acute left heart failure underwent various treatments.Methods From January,2064 to January,2007,52 AMI patients with acute left heart failure were treated in our department by traditional medication.Results The evident effect ratios was 55.7%,and the effective ratios was 5.4%.The overall in-hospital mortality rate was 28.8%.8 patients dies of pump failure and 7 patients died of renal and（or） respiratory failure.Conclusion The AMI patients complicating acute left heart failure,in--hospital mortality remained high,especially for patients complicating further with acute renal failure and acute respiratary failure.