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高龄非ST段抬高型心肌梗死患者96例临床特点分析
引用本文:李传方,高东升.高龄非ST段抬高型心肌梗死患者96例临床特点分析[J].实用心脑肺血管病杂志,2009,17(7):555-556.
作者姓名:李传方  高东升
作者单位:1. 山东大学医学院,山东省济南市,250012
2. 山东省济宁医学院附属医院心内科
摘    要:目的研究高龄非ST段抬高型心肌梗死的临床特点,提高高龄急性心肌梗死的诊治水平。方法回顾分析96例高龄(年龄≥75岁)非ST段抬高型心肌梗死患者的临床资料。结果女性比例略高于男性(1.09:1),多无明显诱因(51.0%),临床症状不典型,常伴有多种疾病,多条血管病变。96例患者经治疗痊愈24例(25.0%),好转64例(66.7%),住院期间死亡6例(6.25%),死亡原因:心源性休克、心衰。室颤2例(2.1%)经电除颤及应用胺碘酮抢救成功。结论高龄老人非ST段抬高型心肌梗死症状不典型及无痛型较多,常伴有多种疾病,病情相互影响,并发症多,预后差。

关 键 词:老年人  心肌梗死  临床特点

The Clinical Characteristics Analysis of 96 Patients with NSTEMI in the Great Aged
LI Chuan-fang,GAO Dong-sheng.The Clinical Characteristics Analysis of 96 Patients with NSTEMI in the Great Aged[J].Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease,2009,17(7):555-556.
Authors:LI Chuan-fang  GAO Dong-sheng
Institution:LI Chuan - fang, GAO Dong - sheng. (School of Medicine Shandong University,ji'nan 250012, China )
Abstract:Objective TO Study the Clinical Characteristics of NSTEMI in the great aged and improve the level of diagnosis and therapy in the patients of AMI.Methods To analysis the data of 96 patients with NSTEMI restrospectively.Results Most of the patients in senile group were female(1.09:1),no obvious inducement(51.0%)and no typical clinical syndrome,the patients with the chest pain(20.8%),with many disease and with not only one vascular lesion;mortality rate was higher(6.25%) in hospital and poor Prognosis.Conclusion There were atypical syndrome and more Complication and poor Prognosis in the elderly NSTEMI.
Keywords:Aged  Myocardial infarction  Clinical feature
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