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目的对采用溶栓疗法治疗女性和男性AMI的基本特点、并发症和治疗结果进行比较,以提高防治效果。方法对1992年1月至1997年12月住院115例接受溶栓治疗患者(男85例,女30例)进行男女基本特点、并发症、治疗结果比较分析。结果女性AMI患者发病年龄较大,入院时间稍迟,并发糖尿病、高血压病高,且4周内并发症多,包括休克、再梗塞、心律失常死亡率高。结论女性AMI采用溶栓治疗发生致命和非致命性并发症的危险较男性为多。
Objective To compare the basic characteristics, complications and treatment results of thrombolytic therapy for female and male AMI in order to improve the control effect. Methods A total of 115 hospitalized patients (85 males and 30 females) admitted to our hospital from January 1992 to December 1997 were enrolled in this study. Their basic characteristics, complication and treatment were analyzed. Results The incidence of AMI in women was older, the hospitalization time was later, complicated by diabetes mellitus and hypertension, and had more complications in 4 weeks, including shock, re-infarction and arrhythmia. Conclusions There is more risk of fatal and non-fatal complications of thrombolytic therapy in women with AMI than in men.