一家区级医院的冠心病重症监护经验。
Experiences of coronary intensive care in a district hospital.
作者信息
McAllen P M
出版信息
Postgrad Med J. 1971 Jan;47(543):5-11. doi: 10.1136/pgmj.47.543.5.
Seven hundred and twenty-one patients were admitted during 22 months. Recent myocardial infarction was confirmed in 518. In this group, 115 (22%) died in hospital and 33 (6%) were resuscitated and left hospital alive. Prophylactic measures probably prevented cardiac arrest in a number of patients and contributed to lowering the mortality rate. Other factors influencing cardiac arrest and death were sex, age, time after onset of infarction and ECG pattern. Anticoagulants had no influence. The clinical presentation was most varied and several difficult diagnostic patterns are described.
在22个月期间共收治了721例患者。其中518例确诊为近期心肌梗死。在这组患者中，115例（22%）死于医院，33例（6%）经复苏后存活出院。预防性措施可能在一些患者中预防了心脏骤停，并有助于降低死亡率。影响心脏骤停和死亡的其他因素包括性别、年龄、梗死后时间及心电图表现。抗凝剂无影响。临床表现最为多样，并描述了几种难以诊断的模式。
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