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回顾性分析260例急性心肌梗死患者,分为高龄组(大于等于75岁)和成年组(小于75岁),总结其临床症状和体征。结果表明,高龄组临床起病以突发呼吸困难(63.26%)最常见,以头晕、晕厥、神志淡漠等症状(8.17%)起病明显高于成年组(1.42%),而有典型胸痛者(26.53%)却明显低于成年组(80.09%)。并发症中出现泵衰竭(53.06%)者明显高于成年组(29.85%)。治疗应注重血管扩张剂、利尿剂等药物的合理使用。
A total of 260 acute myocardial infarction patients were retrospectively analyzed. They were divided into the elderly group (75 years old or older) and the adult group (younger than 75 years old), and their clinical symptoms and signs were summarized. The results showed that the incidence of clinical onset of sudden onset of dyspnea (63.26%) was the most common in advanced age group. The incidence of dizziness, fainting, delirious symptoms (8.17%) was significantly higher than that of adult group (1.42% , While those with typical chest pain (26.53%) were significantly lower than those in the adult group (80.09%). Complications of pump failure (53.06%) were significantly higher than the adult group (29.85%). Treatment should pay attention to vasodilators, diuretics and other drugs rational use.