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目的探讨青年人酗酒后急性心肌梗死的临床特点,以提高对该病的认识。方法回顾性分析2008年3月—2012年10月7例青年人酗酒后急性心肌梗死的临床资料。结果 7例青年人酗酒后急性心肌梗死,发病前无任何心血管病史,多数无冠心病的高危因素。饮酒后可即刻发病,也可在饮酒后平均8.6 h后发病。临床表现除醉酒状态外与常见的心肌梗死无差别,根据心电图判断,7例患者梗死面积均较广泛。5例为非Q波梗死,预后良好,2例Q波梗死患者死于严重的心律失常。结论缺乏冠心病高危因素的青年人过量饮酒后胸痛、胸闷可能为急性心肌梗死,应引起警惕。
Objective To investigate the clinical features of young people after alcohol abuse acute myocardial infarction in order to improve their understanding of the disease. Methods The clinical data of 7 young patients with acute myocardial infarction after alcohol abuse were retrospectively analyzed from March 2008 to October 2012. Results 7 cases of young people after alcohol abuse acute myocardial infarction, before onset without any history of cardiovascular disease, most of the risk factors of coronary heart disease. Immediate drinking after drinking, but also after drinking an average of 8.6 h after onset. Clinical manifestations in addition to the drunken state and common myocardial infarction no difference, according to the electrocardiogram to determine the infarct size in 7 patients were more extensive. Five patients had non-Q wave infarction with a good prognosis. Two patients with Q wave infarction died of severe arrhythmia. Conclusions Young people who lack the risk factors for coronary heart disease should be alert when they have excessive alcohol consumption after chest pain and chest tightness may be acute myocardial infarction.