老年急性心肌梗死分析

目的 探讨老年人急性心肌梗死(AMI)的临床表现及治疗特点，旨在提高认识。方法 回顾分析我院3年中收治的60岁以上106例AMI患者的临床资料。结果 老年人AMI无胸痛者63例(59％)，有合并症83例(78．3％)，伴发疾病多，病死19例(18％)。≥75岁患者30例，有7例进行了静脉内溶栓治疗(6．6％)。结论 老年人AMI临床症状多不典型，且愈是高龄症状愈不典型，合并症多，伴发的疾病多，病死率高，静脉溶栓年龄可放宽，但适应症比例相对要小。

Analysis of Senile Patients with Acute Myocardial Infarction

Objective Aims to improve realization by investigating the clinical manifestation and treatment of old patients with acute myocardial infarction(AMI).Methods The clinical data of 106 patients over 60 years old in latest three years was studied from Wuhan Central Hospital.Results There were 63 patient(59%) without chest pain,83 patients(78.3%) with complications,and more accompanied disease 19 death(18%),.Seven of 30 patients over 75 years old (6.6%) were treated by intravenous thrombolysis.Conclusion Most of old patients with AMI have no typical symptoms.It could be in relation with old age.They have more accompanied disease and more occurence of death.The indicated age for thromblysis management may be more wide.But the rate of indicated patients is still relative small.