论文部分内容阅读
目的研究青年人急性心肌梗死(AMI)的临床特点,探讨导致青年人AMI的可能因素。方法分析青年人AMI的危险因素、诱发因素、症状、体征、血脂、冠状动脉造影、并发症及死亡率等。结果 80.77%病例否认心绞痛病史,98.08%开始即表现严重胸痛,冠脉造影显示28.84%痉挛,60.71%为单支血管病变,死亡率低(0%)。结论青年人AMI,主要是以男性为主,与吸烟、大量饮酒、过度劳累密切相关,其发病多有明确诱因,症状典型,病变程度较轻,预后相对较好。
Objective To investigate the clinical features of acute myocardial infarction (AMI) in young people and explore the possible causes of AMI in young people. Methods The risk factors, predisposing factors, symptoms, signs, blood lipids, coronary angiography, complications and mortality of young people were analyzed. Results 80.77% of the patients denied the history of angina pectoris. 98.08% showed severe chest pain at the beginning. Coronary angiography showed 28.84% spasms. 60.71% were single vessel disease with low mortality (0%). Conclusion AMI in young people is mainly dominated by men, which is closely related to smoking, heavy drinking and over-exertion. The incidence of AMI is mostly clear inducing, with typical symptoms, mild lesion and relatively good prognosis.