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本文总结了1992~1996年4年半时间内我院收治的182例急性心肌梗塞患者,将其分为老年组(≥65岁)与成年组(<65岁),结果发现老年组病死率为28%,显著高于成年组的10%(P<0.01),且老年组在伴有高血压、糖尿病、脑血管意外、慢性支气管炎等疾病时,死亡率明显高于成年组,并发两处以上梗塞老年组死亡率也高于成年组。年龄大、性别差异、梗塞范围大及出现休克、心力衰竭、心律失常,均预示着预后不良。
This article summarizes 182 cases of acute myocardial infarction admitted to our hospital from 1992 to 1996, divided into elderly group (≥65 years) and adult group (≤65 years old), and found that the mortality in the elderly group was 28%, significantly higher than the adult group of 10% (P <0.01), and the elderly with hypertension, diabetes, cerebrovascular accident, chronic bronchitis and other diseases, the mortality was significantly higher than the adult group, complicated by Mortality in elderly patients with two or more infarctions was also higher than that in adults. Age, gender differences, a large infarct size and shock, heart failure, arrhythmia, are predicts a poor prognosis.