论文部分内容阅读
目的了解高血压病并发AMI的临床特点及处理。方法采用临床对比方法,对58例高血压病患者和49例非高血压AMI患者进行分析。结果高血压病并发AMI患者,严重心律失常发生率(63.79%),急性肺水肿发生率(34.48%),及病死率(29.31%),均明显高于非高血压AMI患者(40.82%,12.24%及16.33%),有明显差异(P﹤0.005)。结论高血压病并发AMI较非高血压AMI患者病情重,预后差。处理上应及早监测血压,使高血压患者血压维持在正常水平,以减少并发症的发生。
Objective To understand the clinical features and management of hypertension complicated with AMI. Methods Fifty-eight hypertensive patients and 49 non-hypertensive AMI patients were analyzed by clinical contrast method. Results The incidence of severe arrhythmia (63.79%), acute pulmonary edema (34.48%) and case fatality rate (29.31%) were significantly higher in hypertensive patients with AMI than those without AMI (40.82%, 12.24 % And 16.33%), there was a significant difference (P <0.005). Conclusions Hypertensive patients complicated with AMI have worse prognosis than non-hypertensive patients with AMI. Treatment should be early monitoring of blood pressure, blood pressure in hypertensive patients maintained at normal levels to reduce the incidence of complications.