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急性心肌梗塞(AMI)是一常见的心血管病,预后较严重。对AMI预后的估计是目前广为探讨的课题之一。本文分析我院1974～1981年住院确诊的AMI131例临床资料在估计近期预后中的意义。一、年龄131例中,60岁以上63例(48.09%),住院期内死亡20例,近期病死率31.75%;60岁以下68例(51.91%),住院期内死亡10例,近期病死率14.70%。两组差别有显著意义(X~2=4.456,P<0.05)。60岁以上近期病死率为60岁以下的2倍,说明老年AMI近期预后严重。这是由于老年人AMI起病时症状往往不典型,容易误诊;老年AMI并发病、夹杂病较多;老年AMI急性期病死率高;死于泵衰竭、心脏破裂等并发症或合并症的比例高。
Acute myocardial infarction (AMI) is a common cardiovascular disease with a more severe prognosis. Estimation of the prognosis of AMI is one of the most widely discussed issues. This article analyzes the clinical data of AMI131 cases diagnosed in our hospital from 1974 to 1981 in the estimation of the short-term prognosis. First, the age of 131 cases, 63 patients over the age of 60 (48.09%), 20 cases of hospitalization deaths, the recent mortality rate was 31.75%; 68 years of age less than 68 (51.91%), 10 cases of hospitalization deaths, the recent mortality 14.70%. The difference between the two groups was significant (X ~ 2 = 4.456, P <0.05). The recent case-fatality rate over the age of 60 is less than 60 years of age, indicating that the recent serious prognosis of elderly AMI. This is due to the onset of AMI symptoms are often atypical, easily misdiagnosed; elderly AMI and complications, more mixed diseases; elderly AMI high mortality in the acute phase; died of pump failure, heart failure and other complications or complications ratio high.