| 急性ST段抬高心肌梗死24h内死亡原因分析 |
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| 引用本文： | 张月军,杨磊,徐欣,杨承健.急性ST段抬高心肌梗死24h内死亡原因分析[J].临床心血管病杂志,2010,26(11). |
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| 作者姓名： | 张月军 杨磊 徐欣 杨承健 |
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| 作者单位： | 无锡市第二人民医院心内科; |
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| 摘 要： | 目的:探讨急性ST段抬高心肌梗死(STEMI)患者早期24h内死亡的原因。方法:对STEMI523例患者中24h内死亡17例的死亡病因、梗死部位、治疗方法、临床特征等临床资料进行分析。结果:死因为心脏破裂12例,占总病死率70.6%;心力衰竭合并心源性休克4例,占23.5%;恶性心律失常1例,占5.9%;心脏破裂的病死率高于心力衰竭合并心源性休克、恶性心律失常(P0.01)。心脏破裂死亡的12例中溶栓9例,未溶栓2例,急诊介入术1例。结论:心脏游离壁破裂是STEMI患者早期24h内死亡的主要病因;静脉溶栓治疗可能增加心脏破裂的发生率,尤其对于老年STEMI患者,宜尽早行急诊介入术或冠状动脉搭桥术以减少心脏破裂的发生。
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| 关 键 词： | 心肌梗死 心脏游离壁破裂 溶栓 |
Causes of death in first 24 hours in patients with ST elevation myocardial infarction |
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| ZHANG Yuejun,YANG Lei,XU Xin,YANG Chengjian.Causes of death in first 24 hours in patients with ST elevation myocardial infarction[J].Journal of Clinical Cardiology,2010,26(11). |
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| Authors: | ZHANG Yuejun YANG Lei XU Xin YANG Chengjian |
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| Institution: | ZHANG Yuejun YANG Lei XU Xin YANG Chengjian (Department of Cardiology,the Second People's Hospital of Wuxi City,Wuxi,214002,China) |
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| Abstract: | Objective:To analyse the causes of death in first 24 hours in patients with ST elevation myocardial infarction(STEMI).Method:The total of 523 consecutive cases of STEMI from 2001 to 2009 were selected.The age,sex,location of infarction and causes of death were analysed.Result:Among 17 cases died in first 24 hours in patients with STEMI,12 cases died of ventricular free wall rupture,1case died of malignant arrhythmia and 4 cases died of acute heart failure with cardiogenic shock.There were 9cases of ventricu... |
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| Keywords: | myocardial infarction ventricular free wall rupture thrombolysis |
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