老年人急性心肌梗塞住院期间死亡原因分析

ANLAYSIS OF THE CAUSE OF DEATH DURING THE ADMINIONAL PERIOD AMONG ACUTE MYCCARDIAL INFARCTION IN THE AGED PERIOUS

本文报告了珠海市中医院、唐山市二所医院８年来（１９８５～１９９２年）收治的８４例老年和２１例非老年组急性心肌梗塞住院期间死亡率患者。老年组及非老年组的病死率分别为１６．１％和５．１％。老年组的死因依次为：泵衰竭４２．９％，肺感染和呼吸衰竭３０．９％，心脏骤停１４．３％，心脏破裂７．１％及其它原因４．７％。本组泵衰竭及肺感染加呼吸衰竭的死亡率均较高，可能与老年人的心肺特征有关。

The mortality cases of 84 cases of aged perious and 21 cases of non- aged perious admittde during the 8 years of 1985-1992 in the three hospitals of two citys are analysed and reported. The mortality rates of the aged and non-aged groups are 16. 1% and 5.1% separately. Causes of death of the aged group are: pump failure 42.9%;pulmonary infection and respiratory failure 30. 9%; cardiac arrest 14. 3%; cardiac rupture 7.1% and etc 4. 7%,The percentage of the mortality rate of pump failure and pulmonary infection with respiratory failure are comparatory high among the aged group.That is probably due to the specific degenerative aged condition of the cardiorespiratory system among the aged perious.