摘要
目的 探讨老年人急性心肌梗死的临床特点。方法 回顾性分析 2 0 1例急性心肌梗死患者的临床资料。根据年龄分为 3组 ,<6 0岁为非老年组 ,6 0～ 79岁为老年组 ,≥ 80岁为高龄组。分别对其临床表现进行对比分析。结果 非老年组中典型胸痛常见 (89.3% ) ,诱发因素与不恰当生活习惯有关。老年组、高龄组临床症状不典型及多变 ;梗死面积广泛 ;并发症多而危重 ;伴存疾病多 ,干扰诊治 ;病死率高。结论 老年人急性心肌梗死的临床表现特点是年龄越大 ,越不典型 ,病情越危重 ,预后不良。
Objective To explore the clinical characteristics of acute myocardial infarction in elderly patients.Methods Clinical data of 201 acute myocardial infarction(AMI) patients were retrospectively analyzed ,who were divided into three groups according to age,patients under 60 years old as non elderly group,60～79 years old as elderly group and over 80 as high-elderly group.The clinical manifestation was compared.Results Typical chest pain was common in non elderly group(89.3%),which was related with the improper living habits.The clinical symptom was atypical and changeable in elderly and high-elderly group.Infarct site was wide,and complications were severe.Conclusioin The clinical characteristics of elderly AMI are the atypical clinical manifestations and disease condition is severe with bad prognosis because of the old age.
出处
《中国综合临床》
北大核心
2004年第4期310-311,共2页
Clinical Medicine of China
关键词
心肌梗死
老年人
Acute myocardial infarction
Senile patient
