摘要
近年来,国内就WHO的心绞痛分类,尤其是对不稳定型心绞痛(UAP)的早期诊断及治疗愈加重视。本文报告从1983.1~1994.12月经住院治疗的UAP84例患者演变为AM141例,达48.8%3死亡20例,达23.8%,已远远超出全国AMI平均死亡率。其中冠心病猝死7例,均在猝死前30分钟或一小时ECG证实无梗塞性图形而突然死亡。心源性猝死(SCD)8例均为AMI者。冠心病猝死7例中有4例无心血管病史达57.1%,此点亦符合文献报导[7]。可见UAP的转归、演变,应引起临床、门急诊的重视。
Recently, the classification of Angina Pectoris of WHO, espelially thediagnosis and treatment of the unstable Angina Pectoris in the early period are paidmore and more attention in our country. The artcle includes 84 cases from 1983. 1to 1994. 12, among with 41 (48. 8%) have devdloped into AMI, While 20 (23.8%) have died. Gorng for beyond the average death rate of AMI in our country.Seven cases of the Sudden Coronary death have not any infarctional figure of ECG,during 30 minutes or one hour before death, four of them(57. 1 % ) having no history about Cardiac drsease, this is Concident with the Papers Published before.Eight cases of the Sudden Cardiac death are all AMI. From thus, the chang andevolution of UAP, must be Paid attention by the clinicians.
出处
《航空航天医药》
1995年第2期72-74,共3页
Aerospace Medicine