再发急性心肌梗死患者的临床特征
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【摘要】目的探讨再发急性心肌梗死(AMI)患者的临床特征。方法将再发AMI患者35例(组1)与同期患有AMI出院后无再梗死的67例患者(组2)对比，分析其临床特征。结果与初发AMI者比较，发生再梗死时，症状多不典型(45.7%，82.8%，P<0.01)；多支病变者显著高于无再梗死者(80.0%，46.3%，P<0.01)；冠状动脉病变积分亦显著高于无再梗死者(13.25±5.25，8.16±3.24，P<0.05)；再梗死者的血总胆固醇水平显著高于无再梗死者(5.71±1.36，3.96±1.74，P<0.05)；血糖水平亦高于后者(9.18±1.37，7.01±1.94，P<0.05)。结论再梗死患者多具有严重的冠状动脉多支病变，再梗死时临床症状多不典型，其血总胆固醇和血糖水平增高为主要的危险因素。
【关键词】冠状动脉疾病；复发性心肌梗死；危险因素
Recurrent acute myocardial infarction in patients with clinical features FAN Zhi-qing.Daqing Oil Fields Hospital,Daqing 163001,China
【Abstract】ObjectiveTo study the clinical characters of recurrent acute myocardial infarction(AMI).Methods102 patients with AMI were divided into two groups according to recurrent infarction afer discharged from our hospital.35 cases with recurrent infarction (group 1)were studied and compared to 67 cases without reinfarction (group 2) .ResultsCompared with group 2,group 1 had a higher incidence of multivessel lesion (80 ......
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