摘要
目的:观察青壮年急性心肌梗死的临床特点,并探讨其病因。方法:对126例45岁以下急性心肌梗死患者及338例中老年急性心肌梗死患者进行对比,从冠状动脉造影、危险因素进行分析。结果:青壮年急性心肌梗死以男性为主,具有临床典型表现,血管病变简单(冠状动脉造影126例,其中冠状动脉正常9例,其余均有冠脉血管病变),死亡率低,预后相对良好等特点。结论:吸烟、饮酒是青壮年人急性心肌梗死的最主要诱因,冠状动脉以单支病变为主,发生心功能不全较少,及时予以再灌注治疗对降低死亡率和改善预后十分重要。
Objective：To observe clinical characteristics of acute myocardial infarction（AMI） in young patients and to explore the etiological factors.Methods：Clinical characteristics in126 young AMI patients（21～44 years old） were observed and compared with a group of 338 aging AMI patients（45～84 years old）.Results：Young AMI patients were often male;had the typical clinical manifestations with simple coronary lesion;low mortality and good prognosis.Conclusions：Smoking and drinking are two main causes of AMI in young patients.The removal of risk factors and timely reperfusion therapy are of importance to reduce morbidity and mortality and to improve prognosis.
出处
《内蒙古医学杂志》
2012年第10期1193-1195,共3页
Inner Mongolia Medical Journal
关键词
青壮年人
急性心肌梗死
冠脉造影
Young
Acute myocardial infarction
Coronary angiography
Risk factors
