中青年急性心肌梗死的临床特点及防治(附375例病历分析)  

Clinical characteristic and prevention of middle and young age patients with AMI

作　　者：王雪里红 舒艳[1] 梁曼[1] 

机构地区：[1]北京急救中心监护病房,100031

出　　处：《实用心脑肺血管病杂志》2000年第2期84-86,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的 提高中青年急性心肌梗死的诊断和治疗水平。方法 对125例年龄≤49岁的中青年急性心肌梗死(AMI)患者进行临床分析,并与同期收治的250例≥70岁的病例相比较。结果中青年组病人占同期收治AMI总数据的15.1％;125例中,男122例,女3例,吸烟者占74.6％;高血脂者占56.0％;饮酒者占40.8％;有高血压史及有家庭史者均为27.2％;4周病死率为7.2％。其中男女比例、吸烟,高血脂、饮酒及家庭史明显高于老年组,高血压史、心绞痛史及病死率明显低于老年组,差异均具极显著性。结论 中青年AMI患者多有吸烟、高血脂、大量饮酒及家庭史等危险因素,其发病与生活习惯、饮食结构及遗传因素密切相关,并具有起病急骤、多有发病诱因、早期猝死率高及病程短预后好等临床特点。Objective For improving the diagnosis and treatment level of middle apd young age patints with acute myocardial infarction (AMI). Methods The clinical analysis was done in 125 patients with AMI before age 49 in our center. The 125 middle and young age cases were compared with 250 old cases aged 70 and beyond. Results The middel and young age patients were 15. 1% of total AMI cares in same period with 122 males and 3 females,the ratio was 40. 7 : 1. In young group,the smoking was 74. 6%,the hyperlipidemia was 56. 0%,the drinking was 40. 8%, the hypertension and family history were 27. 2% each,and the mortali- ty was 7. 2% in four weeks. The male and female ratio, smoking, hyperlipidemia, drinking and family history in young group were obviously higher than in old group, whereas the hypertension and mortality were obviously lower than in old group, the differences were significant. Conclusion The middle and young age patients mostly had risk factors, significant predisposing causes,sudden onset and no premonition. The early sudden death rate was higher,but the late complication rate was lower. Therefore the course of disease was short and the prognosis was better than old cases.

关 键 词：心肌梗死 中青年 临床特点 防治 

分 类 号：R542.220.1[医药卫生—心血管疾病]