高龄急性心肌梗死患者临床特点分析  

Analysis of Clinical Characteristics of Acute Myocardial Infarction in the Elderly Patients

作　　者：李彦波[1] 刘于红[1] 费月海[1] 高鑫 高瑞丽[1] 

机构地区：[1]中国人民解放军海军总医院干部综合内科

出　　处：《国际老年医学杂志》2018年第1期34-36,44,共4页International Journal of Geriatrics

摘　　要：目的研究高龄老人急性心肌梗死的临床特点。方法对比分析我院2015年6月～2016年6月收治的高龄和中老年急性心肌梗死患者的临床资料。结果高龄组老人急性心肌梗死发病无诱因者多见，症状不典型，非ST段抬高心肌梗死多见，肌钙蛋白I及肌酸激酶同工酶（CK—MB）水平较低，且行经皮冠状动脉介入治疗（PCI）或搭桥等手术少，预后差，住院时间长。结论高龄心肌梗死患者诊断困难，预后差，应尽早行PCI或搭桥手术治疗。Objective To study the clinical characteristics of acute myocardial infarction （AMI） in the elderly patients. Methods The clinical data of acute myocardial infarction in the elderly and middle - aged patients was compared and analysed from May in 2015 to May in 2016 in our hospital. Results In the elderly patients the causes of acute myocardial infarction were rarely seen, the symptoms were not typical, non ST segment elevation myocardial infarction （STEMI） was more common, the levels of troponin I （ cTn I ） and creatine kinase - MB （ CK - MB） were lower, and percutaneous coronary intervention （PCI） or bypass surgery were rarely performed. Therefore these patients had the poor prognosis and long hospital stay. Conclusion In the elderly the diagnosis of AMI is difficult, the prognosis is poor, and PCI or bypass surgery are needed as early as possible.

关 键 词：高龄患者 心肌梗死 临床特点 

分 类 号：R542.22[医药卫生—心血管疾病]