资源描述：
《高血压并发急性心肌梗死的救治体会 毕业论文》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、南方医科大学成人高等教育毕业论文题目：高血压并发急性心肌梗死的救治体会作者姓名：XXXX专业：临床医学 年级：2011级专升本学号：高血压并发急性心肌梗死的救治体会摘要急性心肌梗死(AMI)是中老年人的常见急危重病之一，同时也是猝死的主要疾病。目的:探讨高血压并发急性心肌梗死患者的临床特点及救治。方法:选择58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及临床特点。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、
2、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,因此调整血压是影响心肌梗死预后的重要因素。另外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,一线卫生人员应有一定认识和掌握,有利于早期的救治工作。现将本科近几年来58例高血压并发急性心肌梗死救治体会总结如下。关键词:高血压;急性
3、心肌梗死;临床特点【abstract】Acutemyocardialinfarction(AMI)isoneofthecommondispensaryintheelderly,themaindiseaseandsuddendeath.Objective:tostudyhypertensioncomplicatedwithacutemyocardialinfarctioninpatientswithclinicalcharacteristicsandtreatment.Methods:58casesofa
4、cutemyocardialinfarctionpatientsweredividedintotwogroups:groupAwithAhistoryofhighbloodpressure,groupBwithnohistoryofhypertension.Comparativeobservationofbloodpressurechangesbeforeandafteracutemyocardialinfarctionanditsclinicalcharacteristics.Results:thec
5、hangeofthepulsepressurewashigherthangroupB,groupAdifferencewasstatisticallysignificant(P0.05);Complications:Agroupofheartfailure,severearrhythmia,cardiacshock,infarction,theincidenceandmortalitywerehigherthaningroupB.Conclusion:concurrenthypertensionpati
6、entsaftermyocardialinfarction,bloodpressuredeclineintheincidenceandseverity,complicationsandmortalitywerehigherthannormalbloodpressure,therecentprognosisispoor,sotoadjustbloodpressureareimportantfactorsaffectprognosisofmyocardialinfarction(mi).Inaddition
7、thepopularityofcoronaryarteriography,makingthediagnosisofcoronaryheartdisease(CHD)levelincreasedsignificantly,andpromotethedevelopmentofnoninvasivediagnosticmethodforcoronaryheartdisease.Interventionaltreatmentofcoronaryheartdiseaseasaneffectivemethodfor
8、coronaryreascularization,morerapiddevelopmentinrecentyears.Theseadvancedeffectivetreatments,frontlinehealthworkersshouldhaveacertainunderstandingandgrasp,isconducivetoearlytreatment.Willnowtheundergraduatecourseinrecentyea
