急性心肌梗塞静脉溶栓治疗性别差异

Sex diference in acute myocardial infarction used tyrombolytic therapy introvenously

目的对采用溶栓疗法治疗女性和男性ＡＭＩ的基本特点、并发症和治疗结果进行比较，以提高防治效果。方法对１９９２年１月至１９９７年１２月住院１１５例接受溶栓治疗患者（男８５例，女３０例）进行男女基本特点、并发症、治疗结果比较分析。结果女性ＡＭＩ患者发病年龄较大，入院时间稍迟，并发糖尿病、高血压病高，且４周内并发症多，包括休克、再梗塞、心律失常死亡率高。结论女性ＡＭＩ采用溶栓治疗发生致命和非致命性并发症的危险较男性为多。

Objective Comparing in basic characteristics,complications and treating result between female (AMI) used thrombolytic therapy so that to promote effect of prevention and treatment Methods5BZComparing and analysing in basic characteristics,complications and treated result between sex in 115 hospitalized patients (female 30,male 85) used thrombolytic therapy from Jauary,1992 to december,1997 ResultsAs female AMI,onset age were older,time for admission were little later,associated with diabetes mellitus and hypertension were higher,and within 4 weeks in admission with more complications including heart failure,shock,reinfarction,arrhythmia,death rate high Conclusion In female patients with AMI used therapy of thrombotysis,the risk of fatal and nonfatal complications were higher than male