急性心肌梗死108例临床分析

Clinical Observation and Analysis of 108 Cases of Acute Myocardinal Infarction

目的通过与疼痛性急性心肌梗死患者进行比较,探讨无痛性急性心肌梗死的影响因素及可能的原因。方法回顾性分析了108例急性心肌梗死患者,其中无痛组22例,疼痛组86例,观察两组患者在一般项目、合并症、并发症及梗死部位方面的情况。结果两组患者在发病年龄、并发症和合并糖尿病的发病率上差异有显著性(P(0.05)。结论高龄、合并糖尿病是无痛性心肌梗死的危险因素,同时无痛性心肌梗死患者易并发心率失常、心力衰竭及心源性休克。

Objective To assess the affective cause of nonached acute myocardional infarction. Methods Analyzing 108 patients of acute myocardional infarction, there were 22 cases without chest ache 86 cases with chest ache. The ages, the rate of diabetes , the position of infarction were observed between the two groups. Results There was significant difference in ages and the rate of diabetes（ P 〈 0. 05 ）. Conclusion Old ages and being accompaned with diabetes were the high risk of nonached acute myocardinal infarction. At the same time the patient of nonached acute myocardinal infarction is easier to be accompanied with arrhythmia,heart failure and cardiac shock.