再发急性心肌梗死患者临床病例分析

Analysis of patients with remyocardial infarction

目的对再发急性心肌梗死患者临床例特点进行分析。方法将再发急性心肌梗死患者24例与同期住院的初发急性心肌梗死患者113例进行对比,分析其临床特点。结果再发急性心肌梗死患者与初发急性心肌梗死患者比较,其合并症发生率分别为高血压70.8%vs61.1%(<0.05),糖尿病33.3%vs23.5%(P<0.05),高质血症12.5%vs25.7%(P<0.05),恶性心律失常29.2%vs30.4%(P>0.05),心功能衰竭58.3%vs46.9%(P<0.05),死亡率20.8%vs78.6%(P>0.05)。结论再发急性心肌梗死患者病情较重,较易发生心功能衰竭;高血压病和糖尿病是再发急性心肌梗死的主要危险因素。

[Objective] To analyze the clinical features of myocardial infarction. [Methods] Compare 24 cases with remyocardial infarction （RMI） with 113 cases with original myocardial infarction （OMI）. [Results] Compare the occurance of concomitant disease between RMI and OMI, hypertesion are 70.8% and 61.1% respectively （P 〈0.05）, diebetes are 33.3% and 23.5% respectively （P 〈0.05）, hyperlipidemia are 12.5% and 25.7% respectively （P 〉0.05）, malignant arrhythmia are 29.2% and 30.4% respectively （P 〉0.05）, heart failure are 58.3% and 46.9% respectively （P 〉0.05）, the mortality are 20.8% and 18.6% respectively （P 〉0.05）. [Conclusion] Remyocardial infarctions are more serious than original myocardial infarction and are liable to lead to heart failure hypertension and diebetes are main risk factors for remyocandial infarction.