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[心肌梗死患者院内死亡率分析]

[Analysis of hospital mortality in myocardial infarct].

作者信息

Beloev I, Nikolov G T

出版信息

Vutr Boles. 1978;17(1):68-73.

PMID:654223
Abstract

Hospital lethality was studied in myocardial infarction which was 24.9 per cent for the period 1973--1976 with a decreasing tendency during the last two years. The study covers 134 deceased of myocardial infarction at an average age of 70,78, their pathologoanatomical findings in the coronary arteries and localization of the nectrotic zone. In 49,26 per cent the case was that of repeated myocardial infarction, thus raising the lethality in the first 24 hours after hospital admission with 70,9 dead up to the 7th day. The analysis of the lethality causes revealed that according to the relative share they were as follows: acute cardiovascular failure, cardiac rupture, acute rhythm and conductivity disturbances, pulmonary embolism, inflammatory lung diseases, etc. No correlation was found between arterial hypertension, cigarette smoking and diabetes mellitus and the leading lethality cause.

摘要

对心肌梗死患者的医院死亡率进行了研究。1973 - 1976年期间的死亡率为24.9%,且在最后两年呈下降趋势。该研究涵盖了134例心肌梗死死亡病例,患者平均年龄为70.78岁,研究了他们冠状动脉的病理解剖学发现以及坏死区域的定位。49.26%的病例为复发性心肌梗死,这使得入院后最初24小时内的死亡率升高,到第7天有70.9人死亡。对致死原因的分析表明,按相对比例排列如下:急性心血管衰竭、心脏破裂、急性节律和传导障碍、肺栓塞、肺部炎症性疾病等。未发现动脉高血压、吸烟和糖尿病与主要致死原因之间存在相关性。

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