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[住院期间急性心肌梗死所致心脏骤停]

[Cardiac arrest in acute myocardial infarction during hospitalization].

出版信息

Zhonghua Xin Xue Guan Bing Za Zhi. 1989 Apr;17(2):70-2, 125.

PMID:2676441
Abstract

Cases of acute myocardial infarction (AMI) complicating cardiac arrest (CA) admitted to collaborative study group since 1972 were presented, and CA cases of 1984-1985 were analyzed. The incidence of CA were 3.7-4.7%, and fatality were 72.4-83.3% in recent years. In 118 cases of CA. 37 were primary ventricular fibrillation (VF), 33 of them occurred within 48 hours after admission, 54.1% were resuscitated. 30 were secondary VF, 27 occurred 48 hours after admission, 16.7% were resuscitated. 24 cases were ventricular standstill, 12 occurred following sinus bradycardia, sinoatrial block or atrioventricular block, 5 recovered by temporary pacing. 27 cases were undetermined because of no electrocardiographic monitoring available during onset of CA.

摘要

本文呈现了自1972年以来协作研究组收治的急性心肌梗死(AMI)并发心脏骤停(CA)的病例,并对1984 - 1985年的CA病例进行了分析。近年来,CA的发生率为3.7 - 4.7%,死亡率为72.4 - 83.3%。在118例CA病例中,37例为原发性心室颤动(VF),其中33例在入院后48小时内发生,54.1%的患者复苏成功。30例为继发性VF,27例在入院48小时后发生,16.7%的患者复苏成功。24例为心室停搏,12例发生在窦性心动过缓、窦房阻滞或房室阻滞之后,5例通过临时起搏恢复。27例因CA发作时未进行心电图监测而无法确诊。

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