海南省近十年间急性心肌梗塞住院病人概况

A CLINICAL ANALYSIS OF 285 CASES WITH ACUTE MYOCARDIAL INFARCTION (AMI) DURING 10 YEARS IN HAINAN PROVINCE

我国冠心病急性心肌梗塞的患病率一般认为北方高于南方,而作为最南方的省份海南省情况如何?为此,我们回顾性分析十年间(1980—1989年)我省十四间县级以上医院的285例患者资料,以了解其概况。 方法 所有病例接统一表格进行登记。急性心肌梗塞的诊断是根据病史、肯定的心电图改变及/或肯定的血清酶变化。

In order to understand the clinical conditions of patients with AMI in Hainan Province, 285 cases with AMI admitted into 14 hospitals ( from 1980 to 1989) were studied retrospectively.Morbidity tended to increase year by year. In the latter 5 years, the morbidity was 1.9 times as high as in the former 5 years. In this series there were 257 males and 26 females. The morbidity in males was far higher than that in females. The peak morbidity was found in the 51-60 years age group (34.1%). 36.1% of cases had smoking history, 28.1% had hypertension and 42.5% had angina pe-ctoris. At the onset, chest pain was reported in 94.4% of the cases while sweating and dyspnea were observed in 60.4% and 30.9% respectively. Q-wave infarction was found in 91.9% of the cases. The major complicaton in the early phase was arrhythmia (46.3%).The detecting rate of arrythmia in Haikou hospitals was higher than that in the county ones (P< 0.01). Other complications were heart failure (16.8%) hypotension (14.4%) and cardiogenc shock (5.6%). The major causes of death were arrhythmia (36.8%) and cardiogenic shock (31.6%).