摘要
近10年来,急性心肌梗塞(AMI)患病率较50年代明显增加,年龄亦趋高龄化。由于老年AMI症状不典型,并发症多,病死率高。现将我院14年来,老年AMI 643例次与同期成人(【60岁)AMI 318例次,进行对照分析。
From 1979 to 1989, 961 cases of acute myocardial infarction were admitted to our hospital. 643 were over 60 years of ages, 318 were under 60 years of ages. Both of the groups were analysed and compared with each other. The later was made as the controls.We found that the test group their clinical features were atypical; painless or atypical chest pain, frequency of the psychoneurotic symptoms, recurrent myocardial infarction, cardiac failure, cardiogenic shock, various kinds of arrythmias, cardiac rupture and gastric hemorrhage as well as hospital mortality were higher than that of the controls (P<0.01). It is indicated that all the patients their ages are over 60 with unexplained pulmonary edema, shock, arrythmias and syncope or psychoneurotic symptoms etc., the ECG and myocardial enzymes should be investigated in them.
出处
《广东医学》
CAS
CSCD
1992年第4期170-172,共3页
Guangdong Medical Journal
