不同年龄急性心肌梗死患者的临床特点  

Clinical characteristics of acute myocardial infarction in patients withdifferent ages

作　　者：朱庄庄[1] 张祥义[1] 冯文秀[1] 

机构地区：[1]广州军区武汉总医院老年病一科,武汉430070

出　　处：《中国综合临床》2004年第11期976-977,共2页Clinical Medicine of China

摘　　要：目的　探讨不同年龄急性心肌梗死患者的临床特点。方法　将 2 2 2例急性心肌梗死患者 ,根据年龄不同分为 4组 :<6 0岁为非老年组 ,6 0～ 6 9岁为低龄老年组 ,70～ 79岁为中龄老年组 ,≥ 80岁为高龄老年组。分别对其临床表现进行比较分析。结果　非老年组中典型胸痛常见 (82 .1% )。老年各组随着年龄增加而有其独特表现 :临床症状不典型及多变性 ;梗死面积广泛 ;并发症多而危重 ;伴存疾病多 ;病死率高。结论　不同年龄急性心肌梗死临床表现各具特点 ,年龄越大 ,临床表现越不典型 ,病情越危重 ,预后不良。Objective To explore the clinical characteristics of age-related acute myocardial infarction(AMI) patients.Methods 222 AMI patients were divided into four group according to age: non-elderly group(<60 years old),low-elderly group( 60-69 years old),middle-elderly group(70-79 years old),and high-elderly group(≥80 years old).The clinical manifestation was analyzed.Results Typical chest pain was commonly seen in non-elderly group(82.1%).Clinical manifestation was different in each elderly group with increase of age.The clinical symptoms were atypical and changeable,infarct area was wide,the accompanied disease become more and mortality rate was high.Conclusion The clinical manifestation differs with the ages.Clinical manifestation becomes atypical,severel with worse prognosis with the increase of age.

关 键 词：心肌梗死 老年人 心力衰竭 

分 类 号：R542.22[医药卫生—心血管疾病]