本文对我院十二年间21例39岁以下急性心肌梗塞住院病人进行了分析,发现年轻人住院急性心肌梗塞发生率为6.4%,男:女=6:1,和40岁以上组有明显差别,可能与生理和内分泌因素有关;从梗塞部位来看,90.4%为前壁组梗塞,和尸体解剖及冠状动脉造影结果相一致。本组死亡3例,均为猝死,应注意对年轻人的急性心肌梗塞要特别加强监护。 In this paper, 21 cases of acute myocardial infarction in patients under 39 years of age hospitalized in our hospital for 12 years were analyzed and found that young people hospitalized with acute myocardial infarction was 6.4%, male: female = 6: 1, and 40-year-old group were significantly different , May be related to physiological and endocrine factors; from the infarct point of view, 90.4% of anterior wall infarction, and the autopsy and coronary angiography results. 3 cases of death in this group, are sudden death, should pay attention to young people with acute myocardial infarction to be particularly strengthened guardianship.