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目的探讨老年AMI患者发病的临床特点,防止漏诊、误诊,提高抢救成功率。方法对新疆生产建设兵团医院急救中心2005-07-2009-12接诊救治的55例60岁以上老年AMI患者进行回顾性分析。结果男女之比例为1.2∶1.0,无典型心前区痛者占35%;多部位梗死(2个壁以上)30例;并发心力衰竭占41.8%,心律失常占43.6%,心源性休克占21.8%,40%未接受早期再灌注治疗行保守治疗,20%行尿激酶溶栓治疗,40%行急诊经皮冠状动脉介入治疗(PCI);病死率41.8%。结论老年AMI患者随着年龄的增加,临床表现常不典型,合并症及并发症多,治疗难度大,病死率高。
Objective To explore the clinical features of elderly patients with AMI, to prevent misdiagnosis and improve the success rate of rescue. Methods A retrospective analysis was conducted on 55 AMI patients over 60 years of age who were admitted to Xinjiang Uygur Autonomous Region Hospital Emergency Center 2005-07-2009-12. Results The ratio of males to females was 1.2:1.0, with 35% of patients with typical anterior precordial pain, 30 cases of multi-site infarction (more than 2 walls), 41.8% of patients with concurrent heart failure, 43.6% of arrhythmia, 21.8%, 40% did not receive conservative treatment of early reperfusion therapy, 20% of urokinase thrombolytic therapy, 40% of emergency percutaneous coronary intervention (PCI); mortality was 41.8%. Conclusion The elderly patients with AMI with increasing age, clinical manifestations are often atypical, complications and complications, treatment is difficult, high mortality.