老年急性心肌梗塞的临床特点(附100例临床分析)  

THE CLINICAL CHARACTERISTICS OF SENILE ACUTE MYOCARDIAL INFARCTION(CLINICAL ANALYSIS OF 100 CASES)

作　　者：裘汉璋[1] 叶怀莲 李昌棣 张涛[1] 

机构地区：[1]暨南大学内科教研室

出　　处：《暨南大学学报（自然科学与医学版）》1991年第2期52-55,共4页Journal of Jinan University(Natural Science & Medicine Edition)

摘　　要：急性心肌梗塞100例,分为老年组(≥60岁)67例,非老年组(<60岁)33例,通过分析对比,提示老年组急性心肌梗塞的临床特点:1.无胸痛较多。2.并发症多,而且严重,尤以并发左心衰竭多。3.并发病多,以高血压病、慢性支气管炎、肺部感染、糖尿病多见。4.再发急性心肌梗塞多。5.病死率高。对于老年急性心肌梗塞应重视其临床特点,及早作出诊断,在心电监护下,及时采取各种有效措施,防止严重并发症,特别是心律失常、心源性休克、心力衰竭。同时治疗并发病,对降低病死率和预后有着重要的意义。This thesis summarizes the clinical courses of 100 cases with acute myocardial infarction (AMI) in our hospital, from January 1983 to May 1990. These cases were divided into two age groups, ⅰ. senile group (above 60 years old )67 cases, ⅱ. non—senile group (below 60 years old ) 33 cases. By comparative analysis, we found their clinical characteristics as follows, ⅰ. More cases without chest pain, ⅱ. More complications and more serious ones too, especially left heart failure, arrhythmias were present, ⅲ. more complicating disease, such as hypertension, chronic bronchitis, pulmonary infection and diabetes which were very common; ⅳ. Recurrent AMI occurred more frequently; ⅴ. mortality was high. Therefore, these features must be taken seriously, We hold that diagnosis in time, close observation and electrocardiogram monitoring, effective treatment and prevention of serious complications, especially cardiac pump failure, arrhythmias were extremely important for prognosis.

关 键 词：心肌梗塞 老年人 

分 类 号：R542.2[医药卫生—心血管疾病]