摘要
本文以CPK复升,ECG再次出现ST段或R波、Q波的改变,临床症状恶化为标准,对122例急性心肌梗塞(AMI)患者进行回顾性分析发现合并梗塞区扩展者18例,发生率为14.8％;扩展发生时间为梗塞后2～20天;合并扩展者的心衰、休克发生率较高,死亡率亦明显高于非扩展者。提示对合并扩展者应予高度重视。
One hundred twenty-two patients with acute myocardia) infarction (AMI) were studied retrospectively. Infarct extension was defined by reelevation of CPK, changes of ST segment, Q wave and R wave, and recurrent chest pain, shock, heart failure or arrhythmias. Eighteen patients with extension were found. The incidence of extension was 14.8%. Extension occured within 2 to 20 days after AMI Incidence of cardiac shock and heart failure were higher in patients with extension. Hospital mortality in patients with extension was 44.4% vs 4.8% in those without extension. In this paper, the cause, diagnostic criteria and prognosis of extension were discussed.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
1990年第2期80-82,共3页
Journal of Clinical Cardiology
