医学毕业论文AMI.docVIP

南方医科大学 成人高等教育毕业论文 题目急性心肌梗死体会作者姓名专业：?年级：级专升本学号：急性心肌梗死体会急性心肌梗死(AMI)是老年人的常见危重病之一同时也是的主要疾病。目的:探讨急性心肌梗死患者的临床特点。方法:选择例急性心肌梗死患者分为两组:A组伴有高血压史,B组无高血压史。对比观察急性心肌梗死前后血压变化临床特点。结果:脉压的变化A组高于B组差异有统计学意义(P0.05);并发症发生率:A组心力衰竭、严重心律失常、心源性休克、再梗死发生率及病死率均高于B组。结论:高血压患者并发心肌梗死后血压下降发生率及严重程度、并发症及病死率都比血压正常者高,近期预后差,因此血压是影响心肌梗死预后的重要因素。冠状动脉造影的普及,使冠心病诊断水平明显提高,并促进冠心病无创诊断方法的发展。冠心病介入性治疗作为冠心病血运重建的有效手段,近年来发展更为迅速。这些先进有效的治疗方法,卫生人员应有一定认识和掌握,有利于救治工作。现将本近几年来例急性心肌梗死救治体会总结如下。高血压; 急性心肌梗死; 临床特点【 abstract 】Acute myocardial infarction (AMI) is one of the common dispensary in the elderly, the main disease and sudden death. Objective: to study hypertension complicated with acute myocardial infarction in patients with clinical characteristics and treatment. Methods: 58 cases of acute myocardial infarction patients were divided into two groups: group A with A history of high blood pressure, group B with no history of hypertension. Comparative observation of blood pressure changes before and after acute myocardial infarction and its clinical characteristics. Results: the change of the pulse pressure was higher than group B, group A difference was statistically significant (P0.05); Complications: A group of heart failure, severe arrhythmia, cardiac shock, infarction, the incidence and mortality were higher than in group B. Conclusion: concurrent hypertension patients after myocardial infarction, blood pressure decline in the incidence and severity, complications and mortality were higher than normal blood pressure, the recent prognosis is poor, so to adjust blood pressure are important factors affect prognosis of myocardial infarction (mi). In addition the popularity of coronary arteriography, making the diagnosis of coronary heart disease (CHD) level increased significantly, and promote the development of noninvasive diagnostic method for coronary heart disease. Interventional treatment of coronary heart disease as an effective method for coronary reascularization, more rapid development in recent years. These adv