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目的:研究青年心肌梗死患者心律失常类型,根据现实病案,研究诱发青年心肌梗死患者出现心律失常的影响因素。方法:随机选取本院2013年1月-2015年1月收治住院39例青年心肌梗死患者,其中合并心律失常患者20例,视为观察组,其余为对照组19例,通过对比两组患者相关疾病指标数据,分析心律失常的类型和影响因素。结果:观察组20例患者心肌梗死合并心律失常发病前6 h内,12例出现动脉压力波形异常、多有病变血管血流心肌梗塞溶栓治疗(TIMI)0级、多支血管病变等表现,对照组19例患者表现正常,诱发合并心律失常的影响因素有吸烟酗酒、高血压、高血糖、高血脂、有心脑血管病史等。结论:心律失常多发生于青年心肌梗死患者发病6 h之内,其具体分型是根据检查指标数据显示来确定的,可以通过预防对策降低相关影响因素,优化治疗方案。
Objective: To study the types of arrhythmia in young patients with myocardial infarction, and to study the influencing factors of arrhythmia in young patients with myocardial infarction. Methods: A total of 39 young patients with myocardial infarction admitted to our hospital from January 2013 to January 2015 were randomly selected. Twenty patients with cardiac arrhythmia were treated as observation group and the rest were control group. The correlation between the two groups was analyzed Disease index data, analysis of arrhythmia types and influencing factors. Results: In the observation group of 20 patients with myocardial infarction with arrhythmia within 6 h before the onset of arterial pressure waveform abnormalities in 12 patients, and more lesions of the vascular thrombolytic therapy TIMI 0, multivessel disease performance, The control group of 19 patients with normal performance induced arrhythmia factors such as smoking, alcoholism, hypertension, hyperglycemia, hyperglycemia, a history of cardiovascular disease. Conclusion: Arrhythmia occurs mostly within 6 hours after onset of myocardial infarction in young patients. The specific typing is determined according to the data of examination indexes. The preventive measures can be taken to reduce the related factors and optimize the treatment plan.