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目的探讨急性心肌梗诊断及治疗经验教训。方法观察我科自2005～2011年期间收治的急性心肌梗死(AMI)住院患者96例。结果 96例患者中,首发症状为阿斯综合征或急性左心衰竭者为4例,伴AMI急性并发症者35例,其中4例死亡,行静脉溶栓治疗23例,再通14例,血栓自溶7例。梗死前反复心绞痛者11例,住院期间其心功能明显好于无梗死前心绞痛者,且无死亡者。结论急性心肌梗死病情变化快,死亡率高,规范细致的治疗方案可降低死亡率,应强调个体化治疗。
Objective To investigate the diagnosis and treatment of acute myocardial infarction. Methods A total of 96 inpatients with acute myocardial infarction (AMI) admitted to our department from 2005 to 2011 were observed. Results 96 patients, the first symptom? My asthma syndrome or acute left heart failure in 4 cases, with AMI acute complications in 35 cases, of which 4 died, intravenous thrombolysis in 23 cases, and then in 14 cases, Thrombosis in 7 cases. Eleven patients had recurrent pre-infarction angina pectoris. Their cardiac function during hospitalization was significantly better than those without infarction, and no death was found. Conclusion The condition of acute myocardial infarction changes rapidly and the mortality rate is high. The standard and meticulous treatment plan can reduce the mortality rate. Individualized treatment should be emphasized.