摘要
本文将128例心肌梗塞尸检结合临床作了对比分析,其中心肌再梗塞组76例(59.4%),其他52例作为对照组。心肌再梗塞病理形态的相对特点是冠状动脉各大主支粥样硬化(AS)均较对照组重,冠脉血栓形成也较对照组多。心肌再梗塞后的并发症除心脏破裂外,均较对照组检出率为高。
Seventy-six autopsied cases of myocardial reinfarction were studied with 52 cases of primary myocardial infarction as control group. The prevalence of myocardial reinfarction was 59.4% in128 autopsied cases of myocardial infarction.
In cases of myocardial reinfarction, the incidence of coronary artery stenosis >50% (degree Ⅲ), especially in the main branch of left coronary artery, (80.5%, vs. 19.5% in control); the incidence of coronary thrombosis (29.7% vs.18.8%), aneurysm (63.3% vs. 36.7%) and severe arrhythmia (84.0% vs. 16.0%) were higher than those in controls, however, the incidence of sudden death (35.7% vs. 64.3%) and cardiac rupture were lower (21.7% vs. 78.3%).
Myocardial reinfarction is not only an extension of myocardial infarction size, but also causes severe damage of myocardial function, it is one of the important causes of death.
出处
《中国循环杂志》
CSCD
1992年第2期172-174,共3页
Chinese Circulation Journal
关键词
心肌再梗塞
冠脉血栓
心肌梗塞
Myocardial reinfaretion
Coronary stenosis
Coronary thrombosis
