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本文报告我院内科10年期间住院的老年(≥60岁)AMI 111例的临床分析,并与同期成年(<60岁)AMI 55例进行比较。其结果提示老年AMI在临床上有下列特点;(1)男女病例的构成比差异不明显(各为55%及45%),而成年组此差别明显(各为76.3%及23.64%);(2)起病时无胸痛或不典型胸痛者比成年组为多(各为42.34%及5.44%,P<0.001);(3)发生心律紊乱及心衰合并症较成年组为多(但后者无统计学显著差异);(4)住院期间病死率较高,死因中泵衰占63.33%,心脏骤停占26.66%,而成年组各为18.18%及54.54%,下壁范围梗塞的病死率老年组明显高于成年组,而前壁范围梗塞无此差别。
This article reports the clinical analysis of 111 elderly patients (≥60 years) with AMI hospitalized in our hospital over a 10-year period and compared with 55 AMI patients of the same age (<60 years). The results suggest that elderly patients with AMI have the following clinical features: (1) there is no significant difference in the constituent ratio of male and female patients (55% and 45%, respectively), while the adult group is significantly different (76.3% and 23.64%, respectively); 2) There were more cases of chest pain or atypical chest pain than those in the adult group (42.34% vs 5.44%, P <0.001 respectively); (3) more arrhythmia and heart failure complication than the adult group (4) The high mortality rate during hospitalization was 63.33% in the cause of death, 26.66% in the cardiac arrest, and 18.18% and 54.54% in the adult group, respectively The rate of the elderly group was significantly higher than that of the adult group, while there was no difference in infarct in the anterior wall.