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1979～1994年我们收治22例青年心肌梗塞,现结合文献对其病因、临床特点分析如下。 临床资料:本组男20例,女2例;年龄29～40岁。临床症状、心电图及酶学改变均符合WHO诊断标准。其中21例有明显冠心病的易患因素,高血脂症12例,高血压6例,糖尿病2例,吸烟20例,有家族史者8例。主要诱因为饮酒、精神高度紧张及过度疲劳等。梗塞部位为前间壁10例,前壁6例,下壁2例,广泛前壁2例,前间壁+侧壁1例,无Q波心梗1例。主要临床表现为突然发生的心前区或胸骨后疼痛,持续时间30分
From 1979 to 1994, we admitted 22 cases of young myocardial infarction, now combined with the literature on its etiology, clinical features are as follows. Clinical data: The group of 20 males and 2 females; aged 29 to 40 years old. Clinical symptoms, ECG and enzyme changes are in line with WHO diagnostic criteria. Among them, 21 patients had obvious predisposition to coronary heart disease. There were 12 cases of hyperlipidemia, 6 cases of hypertension, 2 cases of diabetes, 20 cases of smoking and 8 cases of family history. The main causes are alcohol consumption, mental stress and fatigue. There were 10 cases of anterior wall infarction, 6 anterior wall, 2 inferior wall, 2 extensive anterior wall, 1 anterior wall plus lateral wall, 1 without Q-wave myocardial infarction. The main clinical manifestations of sudden anterior or sternal pain, the duration of 30 minutes