贵州医科大学学报

1988, (01) 12-17

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贵阳地区老年人急性心肌梗塞临床特征
CLINICAL CHARACTERISTICS OF AGED ACUTE MYOCARDIAL INFARCTION IN GUIYANG

姚淙;张德银;刘正珠;
The co-operation group of myocardial infarction in Guiyang

摘要(Abstract):

对142例老年患者和90例60岁以下患者急性心肌梗塞(AMI)的临床资料进行比较,发现贵阳地区老年人的AMI有以下特征:相对发病率较高,男性发病高于女姓,再梗塞者明显高于对照组,起病常不典型,梗塞部位以前、侧壁为多,主要并发症为心律失常,142例老年患者的病死率为23.3%,死因以泵衰竭最多。
The clinical materials of 142 elderly acute myocardial infarction (AMI) patients admitted to a collaborative group of 10 hospitals in Guiyang were analysed. The results demonstrated that the special clinical features of the elderiy patients were as follows:1. There were only 232 cases from 1975 to 1984 but more than 2/3 of them were above 60 years of age. 2. Average age of the patients was 68.73±7.36 years with a male to female ratic of 3.06 1. 3. 10.6% of them had history of MI, which was much than those below 60 years (3.7%). 4. The onset of symptoms were atypical: 50 per cent of the patiens had no angina pectoris, 25% were the fi rst angina pector is, 75% in rest, 14.7% were induced by infections;The incidence of typical chest pain was rower than the controls,and atypical chest pain, shook hart heatfailure, arrythmia sand vomiting were higher than the controls.5.The site of infarction:anterior-lateral infarctions were three times than posterior- inferior infarctions. 6. The main coplications were: arrrhythmias 84.5%, pump failure 38%(including shock and heart failure). 7.Hospital AMI mortality (23.2%) was much higher than that of the controls(5.6%) Especially in that of repeat attacks of infarction and combined two sites of infarctions were 33% & 46.2% respectively. 8. The eases of death were:pump failure 51.5%. serious arrhythmias 45.5% (including 11 cases of cardiae arrest. Among these, there, were 7 easses of primary ventricular fibrillation)

关键词(KeyWords): 急性心肌梗塞;心律失常;老年人
Acute myocardial infarction Arrhythmia Aged

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作者(Author): 姚淙;张德银;刘正珠;
The co-operation group of myocardial infarction in Guiyang

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DOI: 10.19367/j.cnki.1000-2707.1988.01.004

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