急性心肌梗死患者伴消化道出血的临床特点

Digestive Tract Hemorrhage in Patients with Acute Myocardial Infarction Clinical Characteristic Research

目的:探讨临床上急性心肌梗死(MI)且伴消化道出血的患者的特征与预后情况。方法:把确诊为AMI的427例患者分成MI对照组、消化道出血后MI组及MI后消化道出血组这三组,第一组404例,第二组8例,第三组15例患者。研究MI伴消化道出血患者在临床上所表现出来的主要特征与一年心血管死亡及由中风、心衰、非致死性的MI、心绞痛再发等情况而住院的复合终点结果。结果:与MI对照组比较,MI后消化道出血组一年内死于心血管疾病与因非致死性MI、再发的心绞痛、中风与心衰等原因而住院的复合终点要高,差异有统计学意义。结论:对MI患者而言,判断其是否患消化道出血的重要预测因素是eGFR降低。MI患者并发消化道出血一般会增加冠脉再通、抗血小板、抗凝治疗的困难,同时预后不良的情况也比较的多。

Objective： To investigate the clinical acute myocardial infarction complicated by hemorrhage of digestive tract of patient characteristics and prognosis.Methods： The 427 patients diagnosed as AMI into myocardial infarction control group, digestive tract hemorrhage after MI group arid MI group of upper digestive tract hemorrhage after the three groups, the first group of 404 patients, the second groups of 8 patients, the third groups of 15 patients. St udy of M I patients with acute upper digestive tract hemorrhage in clinical displayed on the main characteristics and a year of cardiovascular death by stroke, heart failure, and nan fatal MI, angina peetoris recurring cases hospitalized composite endpoint results.Results： Compared with MI group, MI group ofnpper digestive tract hemorrhage after a year die from cardiovascular disease and for nonfatal MI, recurrent angina, stroke and heart failure and other reasons in the composite endpoint is much higher＇, statistically significant differences.Conclusion： The MI patients, whether the risk of digestive tract hemorrhage of important predielive factors is eGFB reduces. MI patients complicated with hemorrhage of upper digestive tract generally increases coronary artery decimalizations, antiplatelet, anticoagulant treatment diffieulties and poor prognosis, the situation is more than.