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目的 :分析影响老年急性心肌梗死 (AMI)的近期预后因素 ,寻找降低病死率的方法。方法 :对 50 5例老年 AMI患者 4周内影响预后的因素进行 Logistic回归分析。结果 :室速、多部位梗死、广泛性前壁梗死、年龄、电解质紊乱、高胆固醇血症史、肺炎、便秘和室早是老年 AMI近期预后的危险因素。结论 :控制或降低危险因素 ,是降低老年 AMI病死率的方法。
OBJECTIVE: To analyze recent prognostic factors affecting elderly acute myocardial infarction (AMI) and find ways to reduce their mortality. Methods: Logistic regression analysis was performed on the factors influencing prognosis in 50 5 elderly AMI patients within 4 weeks. Results: Ventricular tachycardia, multiarterial infarction, extensive anterior infarction, age, electrolyte disturbance, hypercholesterolemia, pneumonia, constipation and ventricular asystole were the risk factors of recent AMI in elderly patients. Conclusion: Controlling or reducing risk factors is a way to reduce the mortality of elderly patients with AMI.