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目的:本研究根据对老年急性心肌梗死心律失常患者的临床资料进行回顾性分析,探讨其临床治疗的有效方法,总结诊治措施,提高老年人的生活质量。方法:随机抽取我院某年某月到某年某月时间段内收治的急性心肌梗死心律失常患者50例,其中25例患者为对照组,患者年龄在60岁以下;另25例患者为观察组,患者年龄在60岁以上。对比分析对照组和观察组患者的病情发展、临床症状以及治疗结果。通过心电图的常规和动态监测结果进行总结研究。结果:对共50例的对照组和观察组患者进行急诊救治之后,对照组的急性心肌梗死心律失常患者无一例死亡,病死率为0;观察组老年急性心肌梗死心律失常患者中,有3例患者死亡,病死率为12%。其中,因III度A-VB引发的室颤死亡有1例;室性心律失常死亡的有1例,泵衰竭死亡的有1例。结论:对于老年急性心肌梗死患者来说,病死率较高,如果不能接受到及时有效的治疗,往往会引发并发症,最终导致患者猝死。导致老年急性心肌梗死患者死亡的原因中,心律失常是其中之一。
Objective: Based on the clinical data of elderly patients with acute myocardial infarction arrhythmia, we retrospectively analyzed the effective methods of clinical treatment and summarized the diagnosis and treatment measures to improve the quality of life of the elderly. Methods: Fifty patients with acute myocardial infarction arrhythmia admitted in our hospital from one year to one year and a year were randomly selected. Among them, 25 patients were control group, the patients were under 60 years old and the other 25 patients were observed Group, patients over 60 years of age. Comparative analysis of the control group and observation group patients with disease development, clinical symptoms and treatment results. Through the conventional ECG and dynamic monitoring results summary study. Results: A total of 50 patients in the control group and observation group after emergency treatment, the control group of patients with acute myocardial infarction without any death, the case fatality rate was 0. In the observation group of elderly patients with acute myocardial infarction, 3 patients The patient died with a case fatality rate of 12%. Among them, 1 case of ventricular fibrillation induced by III degree A-VB death occurred; 1 case died of ventricular arrhythmia and 1 case died of pump failure. Conclusion: The mortality rate is higher in the elderly patients with acute myocardial infarction. If they can not receive timely and effective treatment, they often lead to complications, eventually leading to sudden death in patients. Among the causes of death in elderly patients with acute myocardial infarction, arrhythmia is one of them.