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本文分析我院近十年(1976～1985年)来8l例急性心肌梗塞住院患者的临床资料,按年龄分为老年组40例(年龄65～84岁,平均71.3岁)和对照组41例(年龄46～64岁,平均56.5岁)进行比较。老年组中不典型胸痛(27.5%)和无胸痛(22.5%)患者明显多于对照组(9.78%和4.8%,P<0.04);老年患者更易并发心力衰竭(52.5%:26.8%,P<0.03)和严重感染(27.5%:9.7%,P<0.05);老年组患者住院死亡率高于对照组(42.5%:24.3%),有接近统计学上的意义(P=0.08)。
This article analyzes the hospital in the past decade (1976 to 1985) to 81 cases of acute myocardial infarction inpatients clinical data, divided into age group according to age, 40 patients (aged 65 to 84 years, mean 71.3 years) and the control group of 41 patients Age 46 to 64 years old, average 56.5 years old) for comparison. The incidence of atypical chest pain (27.5%) and no chest pain (22.5%) in the elderly group was significantly higher than that in the control group (9.78% vs 4.8%, P <0.04). Elderly patients were more likely to have heart failure (52.5% vs 26.8%, P < 0.03) and severe infection (27.5%: 9.7%, P <0.05). The in-hospital mortality rate in the elderly group was higher than that in the control group (42.5%: 24.3%), which was close to statistical significance (P = 0.08).