论文部分内容阅读
目的分析老年人急性心肌梗死的临床特点,进一步提高该病的诊断和治疗水平。方法老年人急性心肌梗死患者60例,根据年龄分为老年组(年龄≥65岁,33例)和非老年组(60岁<年龄<65岁,27例),归纳分析两组的临床特点。结果老年组中高血压病、冠心病、糖尿病、心律失常、休克比率均高于非老年组(P<0.05),而典型胸痛、吸烟史却明显低于非老年组(P<0.05)。结论老年人急性心肌梗死的临床表现多样化,合并症、并发症较多,预后不佳,死亡率较高,临床应加强对老年人急性心肌梗死特点的认识,提高临床诊断率,改善预后。
Objective To analyze the clinical characteristics of elderly patients with acute myocardial infarction and to further improve the diagnosis and treatment of the disease. Methods Sixty elderly patients with acute myocardial infarction were divided into the elderly group (≥65 years old, 33 cases) and the non-elderly group (60 years old <65 years old, 27 cases). The clinical features of the two groups were summarized. Results The rates of hypertension, coronary heart disease, diabetes mellitus, arrhythmia and shock in the elderly group were significantly higher than those in the non-elderly group (P <0.05). The typical chest pain and smoking history were significantly lower than those in the non-elderly group (P <0.05). Conclusions The clinical manifestations of acute myocardial infarction in the elderly are diversified. Complications, complications, poor prognosis and high mortality are the major causes of acute myocardial infarction in the elderly. The clinical diagnosis of acute myocardial infarction should be strengthened to improve the clinical diagnosis rate and prognosis.