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[目的]探讨老年人不典型急性心肌梗塞的临床特征及其治疗方法。[方法]回顾性分析我院2005年6月~2009年10月收治的老年不典型急性心肌梗塞患者68例。[结果]68例病例中,无痛型患者有53例,占77.9%,主要表现为呼吸困难、喘息、胸闷、气促、端坐呼吸、突然出现的头晕和晕厥;异位疼痛型患者有15例,占22.1%,主要表现为上腹痛、肩背放射痛、左上肢放射疼痛等。通过临床积极治疗,治愈35例,好转24例,死亡9例。有效率达86.8%。[结论]熟悉各种不典型急性心肌梗塞临床表现,注意检查心电图,联合心肌酶谱,及时进行合理治疗,可减少病死率。
[Objective] To investigate the clinical features and treatment of atypical acute myocardial infarction in the elderly. [Methods] A retrospective analysis of 68 cases of elderly patients with atypical acute myocardial infarction admitted from June 2005 to October 2009 in our hospital. [Results] Among the 68 cases, 53 cases were painless, accounting for 77.9%. The main symptoms were dyspnea, wheezing, chest tightness, shortness of breath, sitting breathing, sudden dizziness and syncope. Patients with ectopic pain had 15 cases, accounting for 22.1%, mainly for upper abdominal pain, shoulder radiating pain, left upper limb radiating pain and so on. Through clinical active treatment, 35 cases were cured, improved in 24 cases, 9 died. Effective rate of 86.8%. [Conclusion] Familiar with the clinical manifestations of various atypical acute myocardial infarction, pay attention to check electrocardiogram, combined with myocardial enzymes, timely and reasonable treatment can reduce mortality.