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目的观察青年急性心肌梗死的临床特点,并对其病因进行探讨。方法对76例44岁以下急性心肌梗死患者及72例健康人进行对比,从高脂血症,糖尿病,家族史,吸烟,肥胖危险因素方面进行回顾性综合分析。结果疾病组吸烟者﹑有家族史者﹑酗酒者分别占据前三位危险因素,占有率分别为80.3%,46.1%,36.8%,。青年急性心肌梗死以男性为主,具有临床典型表现,死亡率低,预后相对良好等特点。结论本组青年人吸烟和家族史为主要的危险因素,急性心肌梗死以男性为多见;发生心功能不全较少,及时予以再灌注治疗对降低死亡率和改善预后十分重要。
Objective To observe the clinical features of acute myocardial infarction in young people and to explore its etiology. Methods A total of 76 patients with acute myocardial infarction under 44 years old and 72 healthy people were compared and retrospectively analyzed from the aspects of hyperlipidemia, diabetes, family history, smoking and obesity risk factors. Results The smokers, family history and alcoholics of the disease group occupy the top three risk factors respectively, accounting for 80.3%, 46.1% and 36.8% respectively. Acute myocardial infarction in young male-dominated, with typical clinical manifestations, low mortality, the prognosis is relatively good and so on. Conclusion This group of young people smoking and family history as the main risk factors, acute myocardial infarction is more common in men; less cardiac dysfunction, timely reperfusion therapy to reduce mortality and improve prognosis is very important.