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本文对62例急性心肌梗塞中并发消化道出血者11例进行临床分析。(1)出血方式:吐血者6例,便血者2例,两者兼有者3例。(2)出血频度:一次者7例,2次者2例,3次者1例,5次者1例。(3)出血时间:住院后1天内出血者3例,3天后出血者2例,1～3天出血者5例,17天出血者1例。(4)出血量:首次200～500ml者10例,1500ml者1例。(5)既往史:5年以上胃病史者2例,无胃病史者9例。(6)预后:抢救成功者7例,死亡4例,死于心源性休克者3例,心衰1例。
In this paper, 62 cases of acute myocardial infarction in patients with gastrointestinal bleeding in 11 cases for clinical analysis. (1) bleeding method: 6 cases of hematemesis, 2 cases of blood in the stool, both of them in 3 cases. (2) bleeding frequency: once in 7 cases, 2 times in 2 cases, 3 times in 1 case, 5 times in 1 case. (3) bleeding time: 1 day after hospitalization in 3 cases of bleeding, 3 days after bleeding in 2 cases, 1 to 3 days in 5 cases of bleeding, bleeding in 17 cases 1 case. (4) the amount of bleeding: the first 200 ~ 500ml in 10 cases, 1500ml in 1 case. (5) past history: 5 cases of stomach history in 2 cases, no stomach history in 9 cases. (6) Prognosis: 7 cases of successful rescue, 4 died, 3 died of cardiogenic shock, 1 case of heart failure.