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目的:讨论青年女性心肌梗死患者临床与冠状动脉病变特点,从而进一步讨论青年急性心肌梗死的发病机制。方法:收录本院自2005年-2009年收治的青年女性急性心肌梗死患者46例,以及2007年-2009年收治的79例青年男性急性心肌梗死患者作为对照比对分析,这些患者均经PCI术治疗。通过病例对照关联分析进行统计。结果:青年女性患者平均年龄40.9±3.5岁,青年男性患者平均年龄41.3±4.1岁,在吸烟史方面两组具有显著的统计学差异(P<0.001),就犯罪血管而言,青年女性患者与青年组患者犯罪血管分布趋势大致相同,以前降支病变为主。结论:青年女性心肌梗死患者大致符合青年心肌梗死病变特点,吸烟可能是重要的环境因素之一,此外被动吸烟的情况需要得到关注。
Objective: To discuss the characteristics of clinical and coronary lesions in young female patients with myocardial infarction so as to further discuss the pathogenesis of acute myocardial infarction in young people. Methods: Forty-six patients with acute myocardial infarction in young women admitted to our hospital from 2005 to 2009 and 79 cases of acute myocardial infarction in young men admitted from 2007 to 2009 were included in the study. All patients underwent PCI treatment. Statistical analysis by case-control analysis. Results: The average age of young female patients was 40.9 ± 3.5 years, and the average age of young male patients was 41.3 ± 4.1 years old. There was significant statistical difference between the two groups (P <0.001) in terms of smoking history. For criminal blood vessels, Crimes in young patients with the trend of the distribution of blood vessels roughly the same, with predominant dystrophy. Conclusion: Young female patients with myocardial infarction generally meet the characteristics of young patients with myocardial infarction, smoking may be one of the important environmental factors, in addition to passive smoking need to be concerned about.