老年急性心肌梗死84例临床分析

Clinical Analysis of 84 Elderly Patients With Acute Myocardial Infarction

目的观察老年急性心肌梗死（acute myocardial infarction,AMI）的临床特点并进行探讨,降低其误诊率。方法选取响水县人民医院2004年1月~2014年6月AMI患者212例,分为观察组（≥65岁）84例和对照组（〈64岁）128例。回顾性对比分析两组发病的临床异同点。结果观察组基础疾病或合并症复杂、就诊不及时、症状不典型及死亡率高,与对照组相比差异有统计学意义（P〈0.05）。结论老年人AMI具有发病突然、无痛或疼痛部位不典型、症状隐匿多样、并发症较多等特点,易误诊,临床医生应加以警惕,及时做心电图、心肌标志物（尤其是肌钙蛋白）及心脏超声等,以提高诊治的及时性,防止急性心肌梗死及其并发症的发生。

Objective Discussion elderly acute myocardial infarction （AMI） of the clinical features in order to decrease its misdiagnosis rate. Methods 212 patients indicatcd of AMI by in the Cardiology Centers of Xiangshui People＇s Hospital, from January 2004 to June 2014, were included in the current study, 84 patients （ ≥ 65 years old） as observation group and 128 patients （〈64 years old） as control group. A retrospective analysis in two groups of clinical data. Results Compared with control group, the old AMI the primary disease or complication rate high, not timely on the hospital, atypical symptoms and a high mortality rate, a statistically significant difference （P〈0.05）. Conclusion Elderly AM1 has a disease suddenly, atypical and dormant symptoms, the hidden complications, extremely easily misdiagnoscd such as more features. The clinicians should be careful and in time for the electrocardiogram, myocardial injure markers （especially for troponin） and cchocardiography, in order to early diagnosis and treatment, prevention AMI complications.