摘要
目的探讨老年人急性心肌梗死的特点与抢救治疗。方法回顾性分析2011年12月至2014年12月接诊的220例〉60岁急性心肌梗死患者的抢救与治疗。结果220例患者中死亡14例，治愈206例，治愈率93．6％，达到了很好的效果。对于较低龄组（75—90岁）而言，高龄组（〈75岁）束支传导阻碍、心力衰竭发生率及住院死亡率（38．46％ vs 24．65％；39．74％ vs 25．35％；10．26％ vs 2．11％）均较高，临床治愈率（87．18％ vs 97．18％）明显较低，差异有统计学意义（P〈0．05）。结论老年人急性心肌梗死一定做到早期迅速准确的评估，及时有效恰当的抢救以及迅速高水平的后续监护治疗、介入手术能显著提高患者的生存率，降低病死率。
Objective To investigate the characteristics and emergency treatment of elderly patients with acute myocardial infarction. Methods Retrospectively analyzed rescue and treatment of 220 cases of patients with acute myocardial infarction over 60 years old from December 2011 to December 2014. Results Fourteen cases died, two hundred and six cases were cured with the cure rate of 93.6%, good results achieved. Compared with the lower age group （75 to 90 years old）, bundle branch obstruction, heart failure incidence and hospital mortality of the elderly group （ 〈 75 years） were higher（38.46% vs 24.65%; 39.74% vs 25.35%; 10.26% vs 2.11%）, and the clinical cure rate（87.18% vs 97. 18% ） was significantly lower, the difference was significant （P 〈 0. 05 ）. Conclusions Elderly acute myocardial infarction must do quickly and accurately assess early, timely and effective rescue proper, prompt follow-up to a high level of intensive care surgical intervention can greatly improve the survival rate and reduce mortality.
出处
《中国实用医刊》
2016年第9期48-49,共2页
Chinese Journal of Practical Medicine
关键词
老年人
急性心肌梗死
抢救
治疗
Elderly
Acute myocardial infarction
Salvage
Treatment
