67例青年人急性心肌梗死临床特征分析

Analysis of Clinical Characteristics in 67 Cases of Young People with Acute Myocardial Infarction

目的:通过分析青年人AMI患者的临床情况,探讨其临床特征和防治措施。方法:收集笔者所在医院2012年1月-2015年1月收治的67例青年人(年龄≤44岁)AMI患者的症状、危险因素(血脂异常、高血压、糖尿病、家族史、吸烟、酗酒、肥胖)、起病诱因及PCI治疗情况,分析总结青年人AMI患者的临床特征。结果:67例患者平均年龄(35.42±8.57)岁。男性占82.0%,吸烟、血脂异常和高血压是主要危险因素,分别占79.1%、57.1%、47.7%。劳累是最常见的发病诱因,占常见发病诱因的46.2%,临床症状胸痛占76.1%,冠脉左前降支病变占79.1%,单支病变占88.0%,早期PCI治疗有明显疗效。结论:青年人AMI以男性多见,多有危险因素,胸痛为主要症状,冠脉病变以单支较多见,早期PCI疗效较好。应早期重视多重心血管危险因素的防治,以降低青年人AMI的发生率。

Objective： To analyze the clinical situations in young people with acute myocardial infarction（AMI）, and to investigate the characteristics and control method.Method： From January 2012 to January 2015, 67 patients less than 44 years old with AMI in our hospital were selecte＆And their symptoms, risk factors（smoking, drinking, obesity, dys]ipidemia, hypertension, diabetes mellitus and family history）, predisposing factors and the curative effect of PCI were analysed.Resnit： The average age of 67 cases was （35.42 ± 8.57） years old.The percentage of male with AMI was higher than female, it was 82.0%.The major risk factors of A MI in young patients were smoking, dyslipidemia and hypertension（79.1%, 57.1% and 47.7%）.The main predisposing factor was overwork, accounting for 46.2%.The pain of chest was the main clinical symptoms（76.1%）, coronary lesions in the left anterior descending lesions were more（79.1%）, and single vascular diseases were primary（88.0%）, early treatment of PCI had distinct effect.Conclusion： The male of young poople with AMI are more than female, and have more risk factors, the pain of chest is main symptom, coronary lesions with single vascular is more, early curative effect of PCI is better.Those show that young people must pay attention to controlling the risk factors of multiple cardiovascular, in order to roducing the rates of AMI in young poople.