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本文就210例急性心肌梗塞患者(自1969年1月～1980年12月,共11年中经心电图确诊为急性心肌梗塞,并有完整病史和病程记录者。)进行了临床表现、并发症以及预后等对比分析。发现急性心肌梗塞的典型症状以非老年组为多(P<0.01),老年组则以非典型症状、消化道症状(恶心、呕吐)及晕厥居多,故易造成误诊。且老年组的并发症显著多于非老年组,死亡率亦高。但经积极治疗后仍能长期存活。所以对老年人急性心肌梗塞的不典型症状应提高认识,及时诊断,积极治疗,以期提高老年人的存活时间。
In this paper, 210 patients with acute myocardial infarction (from January 1969 to December 1980, a total of 11 years confirmed by electrocardiogram of acute myocardial infarction, and a complete history and course of the record.) The clinical manifestations, complications and Prognosis and other comparative analysis. The typical symptoms of acute myocardial infarction were found to be more in the non-elderly group (P <0.01). The elderly patients were mostly atypical symptoms, gastrointestinal symptoms (nausea and vomiting) and syncope, which led to misdiagnosis. The complications in the elderly group were significantly more than those in the non-elderly group, with a high mortality rate. However, after active treatment can still long-term survival. Therefore, elderly patients with atypical symptoms of acute myocardial infarction should raise awareness, timely diagnosis and treatment, in order to improve the survival time of the elderly.