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目的总结分析超高龄急性心肌梗死(AMI)患者的临床特点。方法收集自1999年10月至2004年10月中南大学湘雅医学院海口医院心内科住院的年龄≥80岁的 AMI 患者32例作为观察组,以同期住院的年龄<80岁的 AMI 患者241例作为对照组,进行对比总结分析。结果临床表现:观察组胸闷痛19例(59%)对照组194例(80%),P 值<0.01;观察组心力衰竭(KillipⅡ级以上)者23例(72%),对照组95例(39%),P<0.01;观察组合并肺部感染18例(56%),对照组99例(41%),P>0.05;梗死部位:观察组急性前壁或广泛前壁18例(56%),对照组120例(50%),P>0.05;治疗效果:观察组治愈者21例(66%),对照组治愈者155例(64%),P>0.05;观察组住院期间死亡3例(9%),对照组住院期间死亡19例(8%),P>0.05。结论超高龄 AMI 患者以前壁或广泛前壁居多;胸痛发生率较其他年龄组低,合并心力衰竭比例高;严密的观察治疗,仍能很好控制住院期间的病死率。
Objective To summarize the clinical features of patients with ultra-acute myocardial infarction (AMI). Methods Thirty-two AMI patients aged> 80 years hospitalized in Department of Cardiology, Haikou Hospital, Xiangya School of Medicine, Central Hunan University from October 1999 to October 2004 were selected as the observation group, 241 patients with AMI <80 years old hospitalized in the same period, As a control group, comparative analysis. Results The clinical manifestations were as follows: 19 cases (59%) in observation group had 194 cases (80%) in control group, P <0.01; 23 cases (72%) in observation group had heart failure (KillipⅡ level) (P <0.01). There were 18 cases (56%) in the observation group and pulmonary infection in the control group, 99 cases (41%) in the control group, P> 0.05. The infarction site: 18 cases in the anterior or anterior wall (Control group, 120%, control group, P> 0.05). The therapeutic effect was observed in 21 cases (66%) in the observation group and 155 cases (64%) in the control group, Three patients (9%) died in the control group during hospitalization, 19 cases (8%), P> 0.05. Conclusions The majority of patients with AMI are predominantly anterior or extensive anterior wall. The incidence of chest pain is lower than that of other age groups, and the proportion of patients with AMI is high. Close observation and treatment can still control the mortality during hospitalization.