不同类型急性心肌梗死临床特点分析  

Clinical Characteristics Analysis of 58 Cases Different Types of Acute Myocardial Infarction

作　　者：蒋学友[1] 黄永菊 JIANG Xueyou;HUANG Yongju(The Second Affiliated Hospital of Southeast University,Nanjing 210003,China)

机构地区：[1]东南大学第二附属医院,江苏南京210003 [2]南京医科大学第二附属医院

出　　处：《中外医学研究》2018年第27期6-8,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：南京市医学科技发展项目(项目编号:QYK11158)

摘　　要：目的:通过对不同类型急性心肌梗死(acute myocardial infarction,AMI)临床特点进行分析,提高对AMI的认识。方法:对58例AMI患者的危险因素、临床表现、心电图(Electrocardiogram,ECG)及冠状动脉造影(Coronary angiography,CAG)等结果进行分析。结果:具有危险因素患者为51例(87.93%),主要危险因素分别为高血压、吸烟、糖尿病、肥胖、高血脂。首发症状表现为胸痛的47例(81.03%),其他首发症状包括晕厥、腹痛、胸闷。ECG显示ST段抬高型心肌梗死(ST segment elevation myocardial infarction,STEMI)37例(63.80%),非ST段抬高型心肌梗死(nonST segment elevation myocardial infarction,NSTEMI)21例(36.20%)。44例患者接受CAG,3支冠脉病变21例(47.73%),2支病变12例(27.27%),单支病变10例(22.73%),无病变1例(2.27%)。不同类型心肌梗死的病变特点各自有所不同。结论:AMI表现形式多样,应该对其危险因素、临床表现、ECG、血清心肌标志物等给予综合分析,以便做到早诊断、早治疗。Objective：To improve the recognition about acute myocardial infarction（AMI）,through analyzing the clinical features to the different types of AMI.Method：A total of 58 AMI patients were retrospectively analyzed,with regard to risk factors,clinical manifestations,Electrocardiogram（ECG） and Coronary angiography（CAG）.Result：There were 51 cases（87.93%） with risk factors,which mainly included hypertension,smoking, diabetes,hyperlipidemia and obesity.Starting symptoms of chest pain accounted for 47 cases （81.03%）,other starting symptoms included syncope,abdominal pain,chest tightness.ECG showed that STEMI accounted for 37 cases（63.80%） and NSTEMI accounted for 21 cases（36.20%）.44 cases of patients accepted the CAG,the results showed three-vessel stenosis for 21 cases （47.73%）,two-vessel stenosis for 12 cases （27.27%）,single-vessel stenosis for 10 cases（22.73%） and 1 case for no-stenosis.There are different characteristics in different type AMI.Conclusion：AMI appeared multiple forms,thus,comprehensive analysis about its risk factors,clinical symptoms,ECG,serum myocardial marker,should be taken in order to diagnose early and treat early.

关 键 词：急性心肌梗死 危险因素 临床分析 

分 类 号：R542.22[医药卫生—心血管疾病]