1966~1975年急性心肌梗塞病例随访小结

ACUTE MYOCARDIAL INFARCTION A TEN YEARS’ FOLLOWING

本文报导对1966~1975十年内首都医院收治的416例急性心肌梗塞患者随访调查结果。急性期病死率32.2%。急性期后存活282例,随访半年以上者275例,随访率97.5%。随访一年生存率88.2%。随访五年生存率67.7%。随访十年生存率40.O%。随访死亡病例死于心内原因者60.9%,主要死于心力衰竭者占心脏原因的51.8%。急性期合併心衰者60例,随诊死亡率50%,无心衰者215例,随诊死亡62例,死亡率29%。随访死亡病例死于心外原因者以脑血管疾患和各种癌瘤为多。本组病例存活者183例,部分或全部恢复劳动能力者164例(89.6%),完全丧失劳力者19例(10.4%),主要因年迈,心功能不全或合併脑血管意外后遗症。

From January 1,1966 through December 31,1975,416 patients with acute myocardial infarction were hospitalized in Capital Hospital.134 of them died within 8 weeks after the onset of the disease.The death rate in acute stage was 32.2%.275 of the 282 patients who survived through the acute stage were followed-up for more than halfayear.239 of the 271 cases which were followed up for oue year survived.The one-year survival rate was 88.2%.124 cases were followed-up for more than 5 years.among them 84 were alive.The five-year survival rate was 67.7.25 cases were followed up for more than ten years.10 of them were still living.The ten-year survival rate was 40%.92 of the 275 patients died during the follow up period.56 cases(60.9%)died of cardiopathy,especially cardiac failure.Cerebrovascular accidents and cancers of various origin were the main other causes of death.183 patients survived through the follow-up period were questioned about their work abilities.164(89.6%)of them returned to their work partially or completely,either in their original professeons or house works.19(10.4%)of the 183 patients could not earn their routine living by themselves because of their old ages,cardiac insufficiencies or sequelae from cerebrovascular accidents.