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目的:分析老年人急性心肌梗死的临床特点。方法:选择我院自2010年8月至2015年5月间收治的不典型急性心肌梗死老年患者52例,分析患者的临床特点,心电图特点和治疗情况。结果:52例患者中存在疼痛性表现者为21例、非疼痛性表现者为31例(分别为40.4%、59.6%,P<0.05);心电图显示ST段抬高型心肌梗死有34例、非ST段抬高型心肌梗死有18例(分别为65.4%,34.6%,P<0.05);平均住院时间为(27.8±12.3),死亡率为13.5%。结论:老年人急性心肌梗死症状多不典型,容易误诊,死亡率高,值得进一步研究,以便早发现,早诊治。
Objective: To analyze the clinical features of elderly acute myocardial infarction. Methods: Fifty-two elderly patients with atypical acute myocardial infarction admitted to our hospital from August 2010 to May 2015 were selected. The clinical features, electrocardiogram characteristics and treatment were analyzed. Results: Among the 52 patients, there were 21 cases with painful manifestations and 31 cases with non-painful manifestations (40.4% and 59.6%, respectively; P <0.05). Electrocardiogram showed 34 cases of ST-segment elevation myocardial infarction There were 18 cases of non-ST elevation myocardial infarction (65.4%, 34.6%, P <0.05, respectively). The average length of hospital stay was (27.8 ± 12.3) and the mortality rate was 13.5%. Conclusion: The symptoms of acute myocardial infarction in the elderly are mostly atypical, easily misdiagnosed and have high mortality rate, which deserves further study for early detection and early diagnosis and treatment.