老年人急性心肌梗死82例临床分析

目的：总结老年人急性心肌梗塞（ＡＭＩ）静脉溶栓治疗经验。方法：对８２例老年人ＡＭＩ的临床资料及其中７５例的溶栓治疗资料进行分析。结果：老年人ＡＭＩ时，无胸痛史达５４．９％，入院心电图ＳＴ－Ｔ缺乏典型改变占４５．３％。经静脉溶栓治疗，梗塞动脉开通率为６２．９％，与７０岁以下ＡＭＩ组溶栓开通率比较（６５％），无统计学差异。结论：老年人ＡＭＩ发病时，临床表现及心电图改变常不典型，应引起重视。在本文条件下

Clinical Analysis on 82 Cases with Senile Acute Myocardial Infarction

Objective:To summarize the clinical experience of Intravenous Dissolving Embolus Therapy on Senile Acute Myocardial Infarction.Methods:Analyzing data of 82 cases on Senile Acute Myocardial Infarction and 75 cases on Intravenous Dissolving Embolus Therapy.Results:54.9%cases with Senile Acute Myocardial Infarction had no thoracalgia,45.3%cases had no typical ECG manifestation.The treatment of 62.9%cases was successful through Intravenous Dissoliving Embolus Therapy.Conclusions:The clinical manifestation of Senile Acute Myocardial Infarction was not typical.Care must be taken by doctors.In this case,Intravenous Dissolving Embolus Therapy is necessary and safe.