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1973～1993年间,冠心病监护病房收治的心肌梗塞561例,分成1987年前后两组进行回顾性分析发现:心肌梗塞的住院病例数明显增多,从占同期内科住院人数的0.34％上升到3.24％,病死率有明显下降,从23.5％下降到8.05％。下降的首要原因是静脉溶栓疗法、硝酸甘油等常规治疗方法的进步。第二位原因是急性左心衰竭并发症的病死率明显下降。心源性休克仍然是治疗上的最大难题,进一步推广静脉溶栓疗法,寻找溶栓中再灌注心律失常的预防措施仍然是今后主要方向。
From 1973 to 1993, 561 cases of myocardial infarction admitted to the coronary care unit were divided into two groups before and after 1987 for retrospective analysis. The number of in-hospital cases of myocardial infarction was significantly increased from 0.34% of the hospitalized medical staff in the same period to 3.24% The case fatality rate dropped significantly from 23.5% to 8.05%. The primary reason for the decline is the progress of conventional thrombolytic therapy, nitroglycerin and other conventional treatment methods. The second reason is that mortality from acute left ventricular failure is significantly reduced. Cardiogenic shock is still the biggest problem in the treatment of further promotion of intravenous thrombolytic therapy, to find the thrombolytic reperfusion arrhythmia preventive measures is still the main direction in the future.