期刊文献+

75岁以上老年人急性心肌梗死286例临床分析 被引量:7

Clinical analysis of 286 cases of acute myocardial infarction patients over 75 years old
下载PDF
导出
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
  • 引文网络
  • 相关文献

参考文献9

二级参考文献38

共引文献60

同被引文献88

  • 1熊丹,杨天伦,张琼,陈龙,刘爱忠.青年急性心肌梗死患者的临床特点[J].中南大学学报(医学版),2014,39(4):361-364. 被引量:26
  • 2金波,罗心平,施海明.经冠状动脉自体骨髓干细胞移植治疗缺血性心脏病1例[J].中国煤炭工业医学杂志,2005,8(10):1045-1045. 被引量:1
  • 3陈绍良.急性心肌梗死细胞再生治疗进展[J].临床内科杂志,2007,24(1):5-7. 被引量:3
  • 4徐伟仙,吕旌乔,赵一鸣,高炜.首次急性心肌梗死住院患者老年人构成比10年变化趋势[J].中华老年医学杂志,2007,26(2):85-88. 被引量:18
  • 5郭丽君,何立芸,高炜.高龄急性心肌梗死患者院内死亡的临床因素分析[J].中华老年多器官疾病杂志,2007,6(4):229-232. 被引量:6
  • 6IGalon MZ, Meireles GC, Kreimer S, et al. Clinical and angiographic pro- file in coronary artery disease: hospital outcome with emphasis on the very elderly[J]. Arq Bras Cardiol,2010,95(4):422- 429.
  • 7Feldman DN, Cade CL, Slotwiner AJ, et al. Comparison of outcomes of percutaneous coronary interventions in patients of three age groups( < 60,60 to 80, and > 80 years)( flx:m the New York State Angioplasty Registry)[ J]. Am J Cardiol,2006,98(10) :1334 - 1339.
  • 8Page M, Doucet M, Eisenberg M J, et al.Temporal trends in revascularization and tutcomes afler acute myocardial infarction among the very elderly[J]. CMAJ,2010, 182 ( 13 ): 141.5-1420.
  • 9Thygesen K, Alpert JS, Jaffe AS, et al.The writing on behalf of the Joint Inbtrc! ESC/ACCF/AHA/WHF Task Force for the Universal Definition of Myocardial ion.Third universal definilion of myocardial infarction[J]. Circulation,2012,126 ( 16 ): 2020-203.5.
  • 10[ Gahm MZ, Meireles C,C, Kreimer S et al.f'linical andangiographic profile in corcmary artery disease: hi, spiral oateome with emphasis on the very ehlerly[J].Arq Bras Cardiol,2010,95 ( 4 ): 422-429.

引证文献7

二级引证文献26

;
使用帮助 返回顶部