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日本缺血性心脏病逐年增加,据东京都卫生年报报道10万人口的死亡率,1933年为7.4,而1978年增加到40.3。一般认为急性心肌梗塞引起的死亡大部分发生于梗塞后不久,40～60(?)死于症状出现后1小时以内。死因多为室颤等致死性心律失常。另外泵衰竭亦与治疗不及时有很大关系,治疗愈早预后愈好。故重要的是如何尽早收进冠心病监护病房(CCU)进行监护,以及及时防治心律失常、心功能不全、心原性休克的泵衰竭。因此了解猝死情况对于加强缺血性心脏病的早期治疗及充实急救医疗体制很重要。一、心性猝死猝死的定义与基础疾病:猝死绝大部分系冠心病
Japanese ischemic heart disease increases year by year. According to the Tokyo Metropolitan Health Annual Report, the death rate of 100,000 people was reported, from 7.4 in 1933 to 40.3 in 1978. Generally believed that the majority of deaths caused by acute myocardial infarction occurred shortly after infarction, 40 to 60 (?) Died within 1 hour after the onset of symptoms. Cause of death and more ventricular fibrillation and other fatal arrhythmias. In addition, pump failure also has a great relationship with the treatment in time, the sooner the treatment, the better the prognosis. Therefore, it is important that how to take care of the coronary care unit (CCU) as soon as possible, and timely prevention and treatment of arrhythmia, cardiac insufficiency and pump failure of cardiogenic shock. Therefore, understanding the situation of sudden death is very important for strengthening the early treatment of ischemic heart disease and enriching the emergency medical system. First, the sudden death of sudden cardiac death and the definition of the basis of the disease: sudden death mostly coronary heart disease