青年人急性心肌梗死临床分析  

Clinical analysis of acute myocardial infarction in young people

作　　者：张秋峰[1] 

机构地区：[1]河南省商丘市第一人民医院急诊科,476100

出　　处：《中国实用医药》2015年第12期17-19,共3页China Practical Medicine

摘　　要：目的探讨青年人急性心肌梗死(AMI)的发病病因、冠状动脉病变特点以及临床特点和防治措施。方法回顾性分析52例青年人AMI的诱因、临床表现、危险因素以及心电图、冠状动脉病变特点等临床资料。结果 52例患者治愈47例,死亡5例。青年人急性心肌梗死的危险因素主要为吸烟、高脂血症、肥胖;多在大量吸烟、过度劳累、暴饮暴食、精神紧张等诱因后发病,胸痛典型,心电图检查多表现为前壁和ST段抬高心肌梗死(STEMI);冠状动脉造影检查提示病变血管以单支病变多见,主要累及左前降支(LAD),狭窄程度较轻,侧支循环少,很少累及主干。并发症少,预后较好。结论掌握青年人AMI临床特点有助于早期诊断,应在青年人群中宣传并指导戒烟,改变不良生活方式,做好早期预防,以降低青年人AMI发病率。Objective To investigate the causes, coronary artery lesion features, clinical characteristics, and measures for prevention and treatment of acute myocardial infarction （AMI） in young people. Methods A retrospective analysis was made on the clinical data of cause, clinical manifestations, risk factors, and characteristics of electrocardiogram and coronary artery lesion in 52 young people with AMI. Results There were 47 cured cases and 5 death cases among the 52 patients. The main risk factors of AMI in young people included smoking, hyperlipidaemia, and obesity. Morbidity was mainly occurred due to inducements such as heavy smoking, overstrain, overeating, and psychentonia. It has typical chest pain with electrocardiogram manifestations as antetheca and ST-segment elevation myocardial infarction （STEMI）. Result of coronary arteriography showed that lesion was mainly in single vessel and rare in multiple vessels, with left anterior descending （LAD） as the main involved vessel in mild stenosis and few collateral circulation. This disease had few complications and goodprognosis. Conclusion Understanding of clinical characteristics of AMI in young people is helpful for its early diagnosis. Promotion and education of smoking cessation is necessary for young people to improve their life style for early prevention and reducing morbidity of AMI.

关 键 词：青年人 心肌梗死 临床分析 

分 类 号：R542.22[医药卫生—心血管疾病]