摘要
目的:探讨高龄急性心肌梗死患者临床特点。方法:选择86例年龄>75岁的急性心肌梗死患者作为高龄组,同期75岁以下的132例急性心肌梗死患者作为对照组,回顾性分析两组患者的一般情况、梗死部位、合并症、并发症和住院病死率等临床资料,并进行对比。结果:高龄组血运重建比明显低于对照组(P<0.01),合并疾病率、住院死亡率均明显高于对照组(P<0.05～0.01)。高龄组、对照组前降支病变分别占62.8%、47.0%,差异有统计学意义(P<0.05);高龄组、对照组因并发症死亡分别占33.3%、66.7%,因合并症死亡分别占66.7%、33.3%,差异有统计学意义(P<0.05)。结论:高龄急性心肌梗死患者主要以前降支为罪犯血管;住院期间死亡率高,与合并症发生率高有关。
Objective：To investigate clinical features in elderly patients with acute myocardial infarction.Methods：A total of 86 patients older than 80 years with acute myocardial infarction were selected as the elderly group and 132 cases with 60-80 years of age as the control group.Clinical date including general condition,area of infarction,complication and mortality were retrospectively analyzed and compared.Results：The rate of revascularization was significantly lower in elderly group（P0.01）,while the incidence of complication and mortality were significantly higher in elderly group（P0.01 or 0.05）.The disease of descending anterior branch accounted for 62.8% in elderly group and 47.0% in control group,with significant difference between two groups（P0.05）.A total of 66.7% in elderly group and 33.3% in control group died of complication,with significant difference between two groups（P0.05）.Conclusions：The criminal vessel in elderly patients with acute myocardial infarction mainly consists of descending anterior branch.The mortality is high and associated with complication.
出处
《海南医学院学报》
CAS
2011年第3期360-362,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020110078)~~
关键词
心肌梗死
梗死部位
死亡原因
Myocardial infarction
Infarct site
The cause for death
作者简介
[作者简介]盛博（1981-），男，黑龙江人，住院医师，硕士，电话：13716874055，电子信箱：xjshelby@sohu．com。
