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目的 本文研究 6 5岁以上老年人急性心肌梗死 (AMI)的临床特点。方法 对 132例 6 5岁以上老年AMI进行临床分析 ,并与同期 145例 6 5岁以下AMI病人进行对比。结果 老年人AMI病人无胸痛或胸痛不典型明显多于非老年组 ,血流动力学受损的体征和并发症、泵衰竭及室上性心律失常及病死率显著高于非老年组 ,而梗死的范围、死亡原因两组间差异无显著意义。结论 老年人无痛性AMI多见 ,病情程度重 ,并发症多 ,病死率高。
Objective This study was to investigate the clinical features of acute myocardial infarction (AMI) in the elderly over 65 years of age. Methods The clinical data of 132 elderly AMI patients aged 65 years and older were compared with 145 cases of AMI patients under 65 years old in the same period. Results There was no chest pain or chest pain in elderly patients with AMI, which was significantly more than those in non-elderly patients. The signs and complications of hemodynamic dysfunction, pump failure, supraventricular arrhythmias and mortality were significantly higher than those in non-elderly patients. The range of death, the cause of death was no significant difference between the two groups. Conclusion The elderly painless AMI more common, the severity of the disease, complications, high mortality.