老年人急性心肌梗死26例临床分析

Clinical analysis of 26 senile myocardial infarction cases

目的分析老年急性心肌梗死的临床特点及治疗效果。方法对26例老年急性心肌梗死患者的临床资料进行分析,同时评价治疗效果。结果 26例患者中有25例心电图检查为急性Q波,1例无明显Q波;患者临床表现为非典型12例(46.2%),无痛型7例(26.9%),异位疼痛型7例(26.9%),患者中有17例死亡(65.4%),均于1个月内死亡。结论老年急性心肌梗死一旦发生,死亡率较高,这与患者临床非典型概率较高密切相关,对怀疑老年心肌梗死的患者应积极行心电图以及心肌酶谱检查,以尽早治疗,降低死亡率。

Objective To analyze the clinical characteristics and curative effect of senile myocardial infarction.Methods Clinical data of 26 senile myocardial infarction patients were analyzed for evaluation of their curative effects.Results Among the 26 patients, there were 25 cases with acute Q wave in electrocardiogram and 1 case without obvious Q wave. There were 12 cases （46.2%） with atypical clinical manifestations, and there were 7 painless cases （26.9%） and 7 ectopic pain cases （26.9%） among them. A total of 17 death cases（65.4%） occurred within 1 month.Conclusion Senile myocardial infarction has high mortality rate, and it is related with high incidence of atypical clinical manifestations. Electrocardiogram and myocardial enzymes examination are necessary for suspected senile myocardial infarction patients, in order to provide early treatment to reduce mortality rate.