不同性别老年人急性心肌梗死的临床特点  

The clinical charecteristics of acute myocardial infarction in the different sexual elderly patients

作　　者：申仕海[1] 金妙珍[2] 

机构地区：[1]姜堰市人民医院心内科,江苏姜堰225500 [2]南京大学医学院附属鼓楼医院心内科

出　　处：《心脏杂志》2001年第2期139-140,共2页Chinese Heart Journal

摘　　要：目的 :了解不同性别老年人急性心肌梗死 (AMI)的临床特点。方法 :对 1988年～ 1998年收治的 2 98(男 2 2 3,女 75 )例老年首发 AMI进行男女对比分析。结果 :女性既往有高血压 (6 2 .7% )、糖尿病 (34 .7% )者高于男性(41.3% ,17.9% ) ,发病至就诊时间 >2 4h或不明确者 (6 4% )多于男性 (2 8.3% ) ,吸烟者 (6 .7% )少于男性(5 8.3% )。发病后心力衰竭、心源性休克发生率、急性期病死率 (48% ,2 5 .3% ,40 % )高于男性 (2 7.4% ,11.2 % ,2 2 .4% )。结论 :老年女性 AMI患者严重并发症多 ,急性期病死率高。AIM:To study the clinical characteristics of acute myocardial infarction (AMI) in the different sexual elderly patients. METHODS:298 cases patients were comparatively analized between male (223 cases) and female (75 cases) from 1988 to 1998. RESULTS:The result shows that elderly female patients had a higher prevalence of hypertension (62.7%) and diabetes (34.7%) than that of male patients (41.3%,17.9%),whereas elderly male patients were more frequently smokers (58.3% vs 6.7%),patients with initial consulting time >24 h or unknown were more in elderly female group (64%) than that of male group (28.3%). The complications such as heart failure,cardiogenic shock and acute mortality were also more common in elderly female group (48%,25 3%,40%) than that of male group (27.4%,11.2%,22.4%). CONCLUSION: The severe complications and acute mortality in elderly female patients seem to more than that in male patients.

关 键 词：老年人 心肌梗塞 流行病学 

分 类 号：R542.220.1[医药卫生—心血管疾病]