老年人急性心肌梗塞的特征及临床分析  

Analysis of characteristic of acute myocardial infarction in the eldly

作　　者：李荣华[1] 

机构地区：[1]秦皇岛市第一医院内科,河北秦皇岛066000

出　　处：《国际医药卫生导报》2008年第13期37-40,共4页International Medicine and Health Guidance News

摘　　要：目的掌握急性心肌梗塞（AMI）老年人的临床特征。方法将AMI患者170例分成老年（60岁以上）组96例，中、初老年（40～59岁）组74例。再将两组同时在临床症状、并发症、梗塞部位与死亡率等方面进行比较。用统计学X^2检验法进行差异显著性检验，P〈0．05为差异有显著性意义，P〉0．05为差异无显著性意义。结果老年人AMI时在无胸痛、恶心呕吐、心力衰竭、泵衰竭，广泛前壁梗塞死亡率及合并高血压、室性早博，使导阻滞方面与中、初老年人比较，P值〈0．05，差异有显著性意义。结论与中、初老年人相比，老年人患AMI时无胸痛、有恶心呕吐较多，并发心力衰竭、泵衰竭较多，合并高血压、室性旱搏，使导阻滞较多，广泛性前壁梗塞时死亡率较高。Objective To analysis the clinical characteristic of acute myocardial infarctiion in the eldly. Methods 170 cases of acute myocardial infaction were divided into 2 groups , the eldly grou （n=96） and control group （n=74）.Compare symptom, complication, region of infarction and mortality rate in the two groups. Results the symptom of painless , vomit and heart failure was more frequently in the eldly group than in control group（P〈 0.05）. mortality rate, occurrence rate of ventricular premature beat and hypertention were higher in the eldly group than in control group （P〈0. 05）.Conclusion compare to control group, the eldly patients with AMI have a higher mortality rate and complications.

关 键 词：心肌梗塞 特征分析 

分 类 号：R542[医药卫生—心血管疾病]