急性心肌梗死青年患者的超声心动图表现与特点分析

Echocardiographic Manifestations and Characteristics of Acute Myocardial Infarction in Young Patients

目的探讨超声心动图诊断急性心肌梗死(AMI)青年患者的表现与特点。方法抽取珠海市第二人民医院接诊的青年AMI患者50例作为研究组,同期接待的老年AMI患者50例作为对照组,回顾性分析临床资料与超声心动图,总结超声心动图表现及特点。结果研究组患者男女比例与对照组比较有明显差异(P<0.05),研究组男性更多;研究组并发症发生率、吸烟史率、饮酒史率、Killip分级(Ⅲ+Ⅳ)率及住院病死率均明显低于对照组(P<0.05);青年AMI患者超声心动图表现显示以急性心肌梗死典型胸痛为主,伴有上消化道症状,无明显心腔大小改变,而且心功能基本正常。结论相比老年AMI患者而言,青年AMI男性较多,并发症更少,而且心脏功能与结构改变并不显著,预后也更好。

Objective To investigate the echocardiographic manifestations and characteristics of acute myocardial infarction(AMI)in young patients.Methods Clinical and echocardiographic data of 50 young AMI patients(study group)and 50 elderly AMI patients(control group)who were treated in the Second People's Hospital of Zhuhai were retrospectively analyzed to summarize the echocardiographic manifestations and characteristics of AMI.Results Compared with control group,the male/female ratio increased and the incidence of complications and rates of smoking history,drinking history,Killip gradeⅢ+Ⅳand hospital mortality decreased in study group(P<0.05).Echocardiography mainly showed typical chest pain and upper digestive tract symptoms with normal cardiac cavity size and cardiac function.Conclusion Compared with elderly AMI patients,the male/female ratio is increased,complications are decreased,cardiac function and structure are not changed and prognosis is improved in young AMI patients.