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研究该院１０年间收治的急性心肌梗塞（ＡＭＩ）患者的住院病死率及其影响因素。对１９８７～１９９７年间冠心病监护病房收治的８１２例ＡＭＩ患者分成１９９２年前后两组进行回顾性分析。结果显示，①住院病死率从１３．０８％下降到８．７６％（Ｐ＜０．０５）；②静脉尿激酶溶栓率从１１．７１％上升到２３．６０％（Ｐ＜０．００１），且梗塞相关血管再通率由３７．２０％（１０／４３）上升至５７．１４％（５９／１０５）（Ｐ＜０．０５）；③ＡＭＩ合并症明显降低，尤以泵衰竭最显著（１９．１０％比２８．６１％，Ｐ＜０．０１），其次为室颤和室速（ＶＦ／ＶＴ）（１８．８８％比２４．８０％，Ｐ＜０．０５）；④近５年ＡＭＩ发病年龄呈下降趋势〔平均年龄自（６３．９２±１０．０２）岁下降到（６１．６０±９．３７）岁Ｐ＜０．０１）；⑤ＡＭＩ发病前的既往病史中糖尿病（ＤＭ）有上升趋势（８．７２％比１３．４８％，Ｐ＜０．０５），其次为高血脂症（１１．４４％比１６．８５％，Ｐ＜０．０５），心肌再梗塞发生率近５年由９．２６％上升至１５．０６％（Ｐ＜０．０５）。可见，１０年间ＡＭＩ治疗有较大的进展，使ＡＭＩ住院病死率明显下降，ＡＭＩ合并症降低。但应注意近５年ＡＭ?
To study the hospital mortality and its influencing factors in patients with acute myocardial infarction (AMI) admitted to the hospital for 10 years. A total of 812 AMI patients admitted to the coronary care unit from 1987 to 1997 were divided into two groups before and after 1992 for retrospective analysis. The results showed that: ① The in-hospital mortality decreased from 13.08% to 8.76% (P <0.05); ② The rate of intravenous urokinase thrombolysis increased from 11.71% to 23.60% (P <0.001) ), And the rate of infarction-related vascular recanalization increased from 37.20% (10/43) to 57.14% (59/105) (P <0.05); ③AMI complications were significantly lower, especially in pump failure (19.10% vs 28.61%, P <0.01), followed by VF and VF (18.88% vs. 24.80%, P <0.05) The incidence of AMI decreased year by year (mean age from (63.92 ± 10.02) years old to (61.60 ± 9.37) years old (P <0.01); ⑤Diagnosis of diabetes mellitus ) Had an upward trend (8.72% vs 13.48%, P <0.05), followed by hyperlipidemia (11.44% vs 16.85%, P <0. 05). The incidence of myocardial infarction increased from 9.26% to 15.06% in the recent 5 years (P <0.05). Visible, 10 years of AMI treatment has made great progress, so that AMI hospital mortality decreased significantly, AMI complications decreased. But should pay attention to nearly 5 years AM?