摘要
目的 分析75岁以上老年人急性心肌梗死(AMI)的临床特点.方法 回顾性分析北京安贞医院自2008年8月至2011年5月收治的286例年龄>75岁的AMI患者的临床资料,该组患者作为A组.选取同期75岁以下的AMI患者260例为B组.对2组的临床表现进行比较.结果 A组患者中182例(63.6%)无胸痛而有上腹痛、咽痛等其他重要表现,明显高于B组[ 52例(20.0%)],差异有统计学意义(P<0.01).A组与B组病死率分别为16.3%(45/286)和3.3% (8/260),A组病死率明显高于B组(P<0.01).结论 75岁以上老年人AMI症状不典型,病死率高,临床应重视无胸痛者的其他重要初发症状.
Objective To analyze the clinical characteristics of patients aged over 75 years old with acute myocardial infarction (AMI). Methods A total of 286 AMI patients more than 75 years old (group A)were admitted into hospital from August 2008 to May 2011. 260 AMI patients under 75 years were selected as a control group (group B). The clinical characteristics of two groups were analyzed and compared. Results There were 182 patients with untypical symptoms represented upper abdominal pain and sore throat( 63.6% ) in group A,which was higher than that in group B [ 52 cases ( 20. 0% ) ]. The in-hospital death in older patients was higher than that in younger patients [ 16. 3 % (45/286) vs3.3 % ( 8/260 ), P 〈 0.01 ]. Conclusion The symptom is untypical in AMI patients more than 75 years old and doctor should emphasize other important symptom without upper abdominal pain.
出处
《中国医药》
2012年第1期38-39,共2页
China Medicine
关键词
心肌梗死
老年人
症状
Myocardial infarction
Old people
Symptoms