摘要
目的 分析老年女性急性心肌梗死的特点。方法 老年女性组 12 6例 ,非老年女性 4 0例为对照组。分析既往糖尿病、高血压、高血脂病史 ;发病时有无胸痛 ;主要常见并发症及病死率。结果 两组既往史 :有糖尿病者差异有显著性 (P <0 0 5 ) ,高血脂者差异有非常显著性 (P <0 0 0 5 ) ,高血压者差异无显著性 (P >0 0 5 )。两组并发症 :并发休克、低左室射血分数差异有显著性 (P <0 0 5、P <0 0 1) ,并发心力衰竭、心律失常差异有非常显著性 (P <0 0 0 5 ) 。病死率 :差异有非常显著性 (P <0 0 0 5 ) 。结论 老年女性急性心肌梗死的发生情况有高危病史者多 ,有典型胸痛者少 ,有并发症者多 ,有多部位梗死者多 。
Objective To study the clinical features of elderly female patients with acute myocardial infarction. Methods Medical histories of diabetes,hypertension and hyperlipemia were analyzed in 126 elderly female patients and 40 controls;whether their diseases were accompanied by pectoralgia or not,as well as essential complication and fatality rate were also surveyed.Results Compared with the control,significant difference was found in the patients who had diabetes(P<0.05),especially who had hyperlipemia (P<0.005),while no significant difference among the patients who had hypertension(P>0.05).Complications:significant difference was found in complicated shock and low left ventricular ejection fraction (P<0.05,P<0.01),especially in complicated heart failure,arrhythmia and mortality rate(P<0.005).Conclusion The incidence of the eledrly female′s acute myocardial infarction is higher in those who had high risk medical history,but lower in those with typical pectoralgia;is again higher in those with some complications and in those with multiple infarcts;all with a high fatality rate.
出处
《山西医药杂志》
CAS
2004年第4期296-297,共2页
Shanxi Medical Journal
