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目的:进一步探讨冠状动脉造影正常的青年急性心肌梗死临床特点,并为临床治疗提供指导。方法:收集了2011年3月—2013年3月50例AMI患者的临床资料进行详细研究,结合患者的冠状动脉造影情况,将上述患者分为2组,详细比较2组患者的基本体征、吸烟饮酒情况、基础疾病、家族史等因素。结果:冠状动脉造影正常青年发生心肌梗死的比率约为24.0%。研究组患者的家族史、高血压、高血脂、糖尿病、心绞痛等发病率与对照组相比,P<0.05,具有差异统计学意义。而2组患者吸烟人数相比,无显著差异性。结论:冠状动脉造影正常的青年急性心肌梗死发病可能与冠脉痉挛有很大关系,科学戒烟以及情绪调整是预防心肌梗死的有效措施。
Objective: To further explore the clinical characteristics of young patients with acute myocardial infarction with normal coronary angiography and to provide guidance for clinical treatment. Methods: The clinical data of 50 AMI patients from March 2011 to March 2013 were collected and studied in detail. According to coronary angiography, the patients were divided into two groups. The basic signs of smoking and smoking were compared in detail Alcohol consumption, basic diseases, family history and other factors. Results: The rate of myocardial infarction in normal young coronary angiography was about 24.0%. The incidence of family history, hypertension, hyperlipidemia, diabetes mellitus and angina in the study group was significantly lower than that in the control group (P <0.05). There was no significant difference between the two groups in the number of smokers. Conclusion: Coronary angiography in young patients with acute myocardial infarction may have a great relationship with coronary spasm, scientific smoking cessation and emotional adjustment is an effective measure to prevent myocardial infarction.