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目的:分析年轻人急性心肌梗死(AMI)的特征,以指导临床工作。方法:回顾性总结52例年轻人急性心肌梗死的临床资料,对其梗死部位、临床症状、发病至就诊时间、镇痛剂的使用,危险因素及治疗后心脏事件的发生率进行分析。结果:①年轻人AMI发病时的主要症状以胸痛多见,前壁梗死多于下壁,就诊早。②危险因素以吸烟、高血脂及冠心病家族史多见。③心功能恢复较好,并发症少,死亡率低。结论:年轻人AMI发病症状及并发症在临床上有其特殊性,诊治中应予注意。
Objective: To analyze the characteristics of young patients with acute myocardial infarction (AMI) to guide the clinical work. Methods: The clinical data of 52 young patients with acute myocardial infarction were retrospectively reviewed. The infarct site, clinical symptoms, time from onset to treatment, the use of analgesics, risk factors and the incidence of post-treatment cardiac events were analyzed. Results: ① The main symptoms of AMI in young patients were more common in chest pain, anterior wall infarction more than the inferior wall, early treatment. ② risk factors to smoking, high cholesterol and family history of coronary heart disease more common. ③ better cardiac function recovery, fewer complications, low mortality. Conclusion: The symptoms and complications of AMI in young people have their own particularity in clinic.