摘要
目的探讨不同部位急性心肌梗死患者的近期预后。方法236例首发急性心肌梗死患者,根据梗死部位分为A组(前壁心肌梗死组)120例,B组(下壁心肌梗死组)116例。比较两组间住院病死率、死亡原因及存活患者出院时左心室射血分数(LVEF)。结果A组患者住院病死率显著高于B组患者(P<0.05)。A组患者因心力衰竭或心源性休克而死亡的比例显著高于B组(P<0.05)。存活患者出院时B组左心室射血分数(LVEF)明显优于A组(P<0.05)。结论前壁急性心肌梗死患者的近期预后较下壁急性心肌梗死患者差,原因可能与前壁心肌梗死患者血管狭窄程度较重及梗死面积较大有关。
Objective To investigate the short-term prognosis of acute myocardial infarction in different parts of the heart. Methods 236 patients with first acute myocardial infarction were divided into group A (anterior wall acute myocardial infarction group, n=120) and group B (inferior wall acute myocardial infarction group, n=116). The in-hospital mortality , causes of death and LVEF at discharge of the patients in two groups were compared. Results Compared with group B, group A had higher in-hospital mortality and more cases died from heart failure or cardiogenic shock. The LVEF of discharge of survivals in group B is much better than that of survivals in group A. Conclusion The short-term prognosis of anterior wall acute myocardial infarction was worse than that of inferior wall acute myocardial infarction. It possibly is related to the more severe degree of coronary artery stenosis and the larger infarction area of anterior wall acute myocardial infarction.
出处
《基层医学论坛》
2005年第3期196-197,共2页
The Medical Forum
