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老年心肌梗死的发病多不典型,因症状不显著常被忽略。 Pathy分析387例65岁以上老年人心肌梗死的临床表现,其中有典型胸痛的75例,只占19％。81％为无痛性心肌梗死,如将急死与精神失常的病例除外,无痛性心肌梗死约为60％。(387例的首发症状:突然呼吸困难或心衰加重77例,典型心绞痛起病75,急剧精神错乱51,急死31,意识丧失27,脑卒中26,头晕,眼发黑22,肢端坏死或跛行加重19,心悸14,肾功能不全11,频繁呕吐10,虚弱感10,肺梗死8,不稳状态4,出冷汗2。)高龄者无典型的胸痛症状是
The incidence of myocardial infarction in elderly atypical, because symptoms are not significantly ignored. Pathy analysis of 387 cases of 65 years of age or older myocardial infarction clinical manifestations, including 75 cases of typical chest pain, only 19%. 81% were painless myocardial infarction, except for cases of acute and psychiatric disorders, painless myocardial infarction was about 60%. (First episode of 387 cases: sudden dyspnea or worsening of heart failure in 77 cases, onset of typical angina pectoris 75, precipitous delirium 51, dying 31, loss of consciousness 27, stroke 26, dizziness, black eyes 22, necrosis of the extremities or Lameness increased 19, palpitations 14, renal insufficiency 11, frequent vomiting 10, weakness 10, pulmonary infarction 8, unstable state 4, out of cold sweat 2.) elderly without typical chest pain symptoms