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作者1988～1992年收治急性心肌梗塞(心梗)143例,按有无疼痛分为两组,无痛组43例,其中男30例,女13例,年龄≥60岁者35例;有痛组100例,男79例,女21例,≥60岁者45例。两组间性别无显著差异(P>0.05),而年龄有显著差异(p<0.05)。既往有高血压、心绞痛史者无痛组多于有痛组,两组有显著差异(P<0.05)。起病症状的根本区别是无痛组无特征性胸痛,表现为胸闷(26例)、心衰(8例),心律失常(3例)、休克(2例)、脑循环障碍(5例)、腹部症状(13例)、大汗淋漓及冷汗(8例),1例以下
The author admitted from 1988 to 1992, acute heart failure (myocardial infarction) 143 cases, with or without pain were divided into two groups, 43 cases of painless group, including 30 males and 13 females, aged ≥60 years in 35 cases; Group 100 cases, 79 males and 21 females, 45 cases of ≥ 60 years. There were no significant differences in gender between the two groups (P> 0.05), but significant differences in age (p <0.05). Past history of hypertension, angina painless group than the pain group, there was significant difference between the two groups (P <0.05). The fundamental difference between the onset symptoms was painless group without characteristic chest pain, manifested as chest tightness (26 cases), heart failure (8 cases), arrhythmia (3 cases), shock (2 cases), cerebral circulation disorders (5 cases) , Abdominal symptoms (13 cases), sweating and cold sweat (8 cases), less than 1 case