摘要
目的分析青年人急性心肌梗死(AMI)的临床特点,为临床治疗提供依据。方法分析青年人AMI的危险因素、诱发因素、症状、体征、血脂、冠状动脉造影等。结果青年组的主要临床特点为男性患者多,高血压发生率低,多有吸烟史、饮酒史、阳性家族史,发病时前驱症状少,但多数有典型的缺血性胸痛症状,心功能状态良好,ST段抬高常见,冠脉造影病变部位多位于左前降支,病变血管多为单支,并发症少,急性期病死率低。结论医师应当掌握青年AMI的临床发病特点,及时正确的诊断,在青年心肌梗死急性期,积极而有效地治疗,以抢救更多的心肌,帮助其安全渡过急性期。
Objectives Analyzing the clinical characteristics of young patients with acute myocardial infarction（AMI） to provide reference for clinical treatment.Methods Analyzing the risk factors,predisposing factors,symptoms,signs,blood lipids and coronary artery angiography of young patients with acute myocardial infarction.Results The clinical characteristics of youth group was more male patients and low incidence of hypertension,which had a smoking history,drinking history,positive family history,and fewer drive symptoms when occurring the disease,but most patients had typical ischemic chest pain symptoms,had good cardiac function and ST segment elevation was common.Coronary angiographic lesions located in the left anterior descending artery,and vascular lesions were multiple single.The complications and the fatality rate during acute period were low.Conclusions Doctors should master the clinical characteristics of young patients with AMI,and give correct and timely diagnosis.During the period of young patients with acute myocardial infarction,taking positive and effective treatment and saving more myocardial to help them to cross the acute stage safely.
出处
《中国医药指南》
2013年第1期21-23,共3页
Guide of China Medicine
关键词
青年
急性心肌梗死
Youth
Acute myocardial infarction
