摘要
目的 探讨中青年 (年龄≤ 5 0岁 )急性心肌梗死 (AMI)的相关因素。方法 将 12 0例年龄≤ 5 0岁的中青年AMI与 12 0例同期收治的年龄 >6 0岁的AMI进行回顾性对比 ,对其性别、危险因素、梗死部位、临床症状、并发症及预后等相关因素进行分析。结果 中青年AMI男性患者占 82 .5 % ,有心血管疾病家族史者达 2 6 .7% ,前壁、前间壁梗死发生率为 5 3.3% ,以典型胸痛起病者占 6 8.3% ,均高于老年组 (P <0 .0 5 ) ;但并发休克、心力衰竭及肺部感染者仅占 2 .5 %、4.2 %、2 4.2 % ,死亡率为 6 .7% ,均低于老年组 (P <0 .0 5 )。结论 中青年AMI男性发病率高 ,多有冠心病或高血压家族史 ,以前壁、前间壁部位为主 ,胸痛典型 ,并发症少 。
Objective To study the correlative factors of acute myocardial infarction(AMI) in young patients(≤50 years).Methods Collecting 120 cases of AMI whose ages ≤50 years and 120 cases of AMI whose ages >60 years.Features of sex,risk factors,locations of infarction,clinical manifestations,complications and prognosis of the two groups were compared and studied.Results Of young AMI patients,82.5% were men,26.7% had family history of heart diseases,53.3% were anterior in farction,68.3% and intense chest pain.All of the figures were higher than those of old ages(P<0.05).But the rate of complication such as shock,heart failure,pneumonia and the mortality were only 2.5%,4.2%,24.2% and 6.7%in young patients,all of them were lower than those of old ages (P<0.05).Conclusion The correlative factors of AMI in young patient are as follows:most patients are men,most of them have family history of heart diseases,anterior infarction is the main location,the symptom of chest pain is intense, complications are rare,the prognosis is good.
出处
《中国行为医学科学》
CSCD
2001年第5期435-436,共2页
Chinese Journal of Behavioral Medical Science
关键词
急性心肌梗死
中青年
老年
相关因素
Acute myocardial infarction
Young
Old
Correlative factors
