近年来急性心肌梗死的死亡率有所下降,但合并心源性休克的死亡率仍很高。在急性缺血状态时,对代谢及神经体液因素作用的重要性及心源性休克的发生还有待进一步阐明。因为激肽(Kinin)具有强烈的致痛及降压作用,有人设想,这种作用可能是心绞痛或急性心肌梗死时引起胸痛和休克的因素之一。既往的一些报道大多仅限于激肽元的测定,作者不但测定了激肽元即非活性 In recent years, the mortality rate of acute myocardial infarction has declined, but the mortality rate associated with cardiogenic shock is still high. In the acute state of ischemia, the importance of metabolic and neuroendocrine factors and the occurrence of cardiogenic shock remains to be further elucidated. Because Kinin has a strong pain-inducing and antihypertensive effect, it is envisioned that this effect may be one of the factors that cause chest pain and shock in acute myocardial infarction. Some of the past reports are mostly limited to kinin determination, the authors not only determine the kinin element that is not active