青年人急性心肌梗死的临床特点及治疗方法分析

目的探讨青年人急性心肌梗死的临床特点以及治疗方法。方法回顾性分析本院收治的42例青年人急性心肌梗死患者的临床资料。结果 42例青年人急性心肌梗死患者中,劳累、情绪变化为主要诱发因素,其中26例患者前驱症状不明显;大多数患者合并高血脂、高血压以及有吸烟、饮酒等不良嗜好;患者发病急,症状重;梗死部位前壁相对多见。2例患者因出现严重室性心动过速、心室颤动抢救无效死亡,40例患者均好转或治愈出院,存活患者均于12～24 h剧烈疼痛消失,大多数患者于发病后6～12个月内恢复日常工作生活。结论多种诱因造成的冠状动脉痉挛或斑块破裂是青年人急性心肌梗死发病的重要原因,掌握其临床特点有助于早期诊断,重视危险因素的控制、改变不良生活方式及减轻精神紧张有助于减少心肌梗死的发生。

Clinical analysis of young patients with acute myocardial infarction

Objective To investigate clinical characteristics and treatment methods of acute myocardial infarction in young people. Methods From January 2008 to October 2013, clinical data of 42 young patients with acute myocardial infarction in our hospital were retrospectively analyzed. Results Of 42 cases of young patients with acute myocardial infarction, fatigue, mood changes were the main inducing factors; prodromal symptoms of 26 patients were not obvious; majority of patients with high blood lipids, hypertension and smoking, drinking and other bad habits; patients with acute onset, severe symptoms; infarct area wall relatively rare. 2 patients with severe ventricular beckoning tachycardia and ventricular fibrillation died, 40 cases were improved or cured, survival of patients were from 12～24 hours of intense pain disappeared, the majority of patients restored their daily work lifeafter onset in 6～12 months. Conclusion coronary artery spasm or plaque rupture caused by many factors are important causes of acute myocardial infarction in young patients, mastering the clinical features is helpful to early diagnosis, paying attention to control risk factors, changing the bad life style and relieving nervous tension help to reduce the occurrence of myocardial infarction.