老年急性心肌梗死患者的临床特点分析

目的：探讨老年急性心肌梗死患者临床表现及并发症的特点。方法选择26例年龄＞60岁的急性心肌梗死患者作为老年组，同时选择60岁以下的41例急性心肌梗死患者作为对照组，分析两组患者的基础疾病、临床症状、并发症等资料，并进行对比。结果老年组的临床发病特点明显低于对照组（P＜0.05），合并并发症及不良事件均明显高于对照组（P＜0.05或P＜0.01）。结论老年急性心肌梗死患者的临床症状不典型，与糖尿病、高血压关系密切，住院期间死亡率高，对高龄患者心肌梗死及早诊断，积极治疗，以降低再次发病率及死亡率。

Analysis on clinical characteristics of elderly patients with acute myocardial infarction

Objective To discuss clinical manifestations of elderly patients with acute myocardial infarction and characteristics of related complications. Methods 26 patients aged over 60 with acute myocardial infarction were assigned to the elderly group and 41 patients aged under 60 with acute myocardial infarction were assigned to the control group. The study analyzed and compared underlying diseases, clinical symptoms and complications between the two groups. Results Compared with the control group, the elderly group had fewer clinical characteristics （P〈0.05）, and higher incidence of complications （P〈0.05） and adverse events （P〈0.01）. Conclusion Elderly patients with acute myocardial infarction have atypical clinical symptoms and high mortality during hospitalization. Acute myocardial infarction is closely associated with diabetes and hypertension in elderly patients. Elderly patients should be given early diagnosis and vigorous treatment to reduce relapse rate and mortality.