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目的探讨老年人冠心病的临床特点及相关分析。方法系统性回顾我院2006年10月-2009年10月收治75例老年冠心病患者的临床资料。结果本组75例患者中,治愈好转出院67例(89.3%),死亡8例(10.7%)。其中3例死于心肌梗死,2例死于心律失常,1例死于心力衰竭,1例死于脑血管意外,1例死于肺部感染。结论老年人冠心病的临床表现不典型、呈多样化,容易造成误诊或漏诊,加之合并症多,预后较差。因此,临床医师只有提高对该类患者的临床诊断准确率,防止漏诊、误诊,才能让患者得到及时有效的治疗。
Objective To investigate the clinical features and related analysis of coronary heart disease in the elderly. Methods The clinical data of 75 elderly patients with coronary heart disease admitted to our hospital from October 2006 to October 2009 were retrospectively reviewed. Results Among the 75 patients in this group, 67 were cured (89.3%) and 8 died (10.7%). Three died of myocardial infarction, two died of arrhythmia, one died of heart failure, one died of cerebrovascular accident and one died of pulmonary infection. Conclusion The clinical manifestations of coronary heart disease in the elderly are not typical, showing diversity, easily lead to misdiagnosis or missed diagnosis, combined with more complications, the prognosis is poor. Therefore, clinicians only improve the accuracy of clinical diagnosis of such patients, to prevent misdiagnosis, misdiagnosis, in order to allow patients to receive timely and effective treatment.