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对106例尸检证实的老年人及老年前期者心肌梗塞进行了临床病理对照分析。老年人心肌梗塞的病理特点是:冠状动脉受累的分支多,复发性心肌梗塞多见,心梗分布面积广泛。其临床特点为无痛型及发病症状不典型的心梗多,合并高血压及糖尿病者多。老年人急性心梗以泵衰竭病死率高,陈旧心梗者恶性肿瘤、肺部感染等心外因素系重要死因。
106 cases of autopsy confirmed the elderly and elderly patients with myocardial infarction were analyzed by clinicopathological analysis. The pathological features of elderly myocardial infarction are: coronary artery involvement of many branches, recurrent myocardial infarction more common, myocardial infarction distribution of a wide area. The clinical features of painless and the incidence of atypical myocardial infarction and more, with hypertension and diabetes were more. Elderly acute myocardial infarction to pump failure mortality is high, elderly patients with malignant tumor, pulmonary infection and other extra-cardiac factors are important causes of death.