急性冠脉综合征患者伴低血压或肺水肿的分析

The difference between the patients suffering from acute coronary syndromes with hypotension or cardiogenic pulmonary edema

目的探讨急性冠脉综合征患者发病后出现低血压不伴肺水肿或出现肺水肿而不伴低血压的差异及其可能原因。方法选择差别出现低血压或肺水肿的急性冠状动脉综合征患者病例105例,出现低血压而未出现肺水肿的定为低血压组,出现肺水肿而未出现低血压的定为肺水肿组,分别对两组病例进行回顾性分析和比较。其中男性87例,ST段抬高型心肌梗死(STEM I)患者80例,非ST段抬高型心肌梗死(NSTE-M I)患者16例,UAP患者9例。低血压组年龄(67.1±10.32)岁,肺水肿组年龄(74.2±7.8)岁。结论低血压的发生主要由急性冠状动脉综合征后心输出量下降引起;肺水肿的发生与肺循环的失代偿有关,且与年龄和高血压病史呈正相关。

Objective To evaluate the difference between patients suffering from acute coronary syndromes（ACS） with hypotension or cardiogenic pulmonary edema.Methods All patients with ACS and hypotension or pulmonary edema were studied,patients suffered from ACS and hypotension were divided into group A,and patients suffered form ACS and pulmonary edema was divided into group B.Results 105 patients with ACS（87 male and 18 female） were studied,the average age was（67.1±10.32） years old in group A and（74.2±7.8） years old in group B;64 patients in group A was diagnosed as ST segment elevation myocardial infarction（STEMI）,and 23 in group B;31 cases in group A have hypertensive disease history,and 24 in group B.Conclusion Hypotension may be caused by the decreased cardiac output.Hypertension and age have positive correlation to pulmonary edema.