影响急性心肌梗塞早期泵衰竭因素的分析

Correlative Factors for Pump Failure in the Early Period of Acute Myocardial Infarction

泵衰竭是急性心肌梗塞(AMI)早期的常见并发症或临床表现。本组301例AMI住院病人早期泵衰竭的发生率为27.5％。单因素分析示年龄、糖尿病病史、肺感染、血糖改变、前侧壁心肌梗塞与早期泵衰竭发生有关;多元Logistic回归分析示年龄、肺感染、血糖改变、前侧壁心肌梗塞足AMI早期泵衰竭发生的独立因素。结果表明,控制梗塞面积、及早控制高血糖、预防和控制肺感染对保护AMI早期的泵功能具有重要作用。

Pump failure is a common complication in the early period of acute myocardial infarction (AMI). The morbidity in a series of 301 inpatients was 27- 5%. Single factor analysis indicated that age,history of diabetes melli-tus, infection of lungs, hyperglycemia, anterolateral myocardial infarction all have an association with the occurrence of pump failure. Multivariate nonconditional logistic regression analysis indicated that there are 4 independent factors as being most closely related to pump failure: (1)age; (2)infection of lungs; (3)hyperglycemia; (4) anterolateral myocardial infarction. It was suggested that controlling of infarct size,serum glucose level,and infection of lungs play an important role to maintain pump function during the early stage of AMI.