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目的分析老年急性心肌梗死的临床特点及治疗效果。方法对26例老年急性心肌梗死患者的临床资料进行分析,同时评价治疗效果。结果 26例患者中有25例心电图检查为急性Q波,1例无明显Q波;患者临床表现为非典型12例(46.2%),无痛型7例(26.9%),异位疼痛型7例(26.9%),患者中有17例死亡(65.4%),均于1个月内死亡。结论老年急性心肌梗死一旦发生,死亡率较高,这与患者临床非典型概率较高密切相关,对怀疑老年心肌梗死的患者应积极行心电图以及心肌酶谱检查,以尽早治疗,降低死亡率。
Objective To analyze the clinical features and therapeutic effect of senile acute myocardial infarction. Methods The clinical data of 26 elderly patients with acute myocardial infarction were analyzed, and the therapeutic effect was evaluated. Results Of the 26 patients, 25 had electrocardiographic examination of acute Q wave and 1 had no Q wave. The clinical manifestations included atypical pneumonia (12 cases, 46.2%), painless type 7 (26.9%), ectopic pain type 7 Cases (26.9%), 17 patients died (65.4%), were within 1 month of death. Conclusions In elderly patients with acute myocardial infarction, the mortality rate is high, which is closely related to the higher clinical atypical probability. Patients with suspected myocardial infarction should take ECG and myocardial enzyme examination actively to treat early and reduce mortality.