摘要
目的:了解老年人急性心肌梗死的临床特点及并发症。方法:选取2018年7月-2019年7月出院老年性心肌梗死患者110例进行回顾性研究。结果:110例患者中,具有典型急性心肌梗死症状68例(61.81%),非典型或无痛32例(29.09%),心悸、气短8例(7.27%),头晕恶心2例(1.82%);发生并发症89例(80.09%),其中心律失常56例(50.9%),心力衰竭14例(12.7%),上消化道出血18例(16.36%),多器官功能衰竭1例(0.01%);行冠状动脉支架植入术治疗83例(75.45%),死亡0例;未行冠状动脉支架植入术治疗27例(24.54%),死亡2例,死亡原因分别为心律失常1例,多器官功能衰竭1例。结论:老年性心肌梗死发病时无明显诱因及症状不典型或其他症状的患者占30.00%左右,误诊率高且并发症发生率高,病死率高;行冠状动脉支架植入术是行之有效的治疗方法。
Objective:To understand the clinical features and complications of acute cardiac infarction in the elderly.Methods:From July 2018 to July 2019 discharged 110 old patients with myocardial infarction were selected for retrospective study.Results:Of the 110 patients,68(61.81%)patients had symptoms of typical acute myocardial infarction and 32 cases(29.09%)were atypical or painless,palpitations,shortness of breath were found in 8 cases(7.27%),2 cases(1.82%)were dizziness and nausea.There were 89 cases(80.09%)of complications,included 56 cases(50.9%)of arrhythmia,14 cases(12.7%)of heart failure,18 cases(16.36%)of upper gastrointestinal bleeding and 1 case(0.01%)of multiple organ failure.Coronary stent implantation was performed in 83 cases(75.45%),0 cases of death,27 cases(24.54%)without coronary stent implantation and 2 cases of death,the causes of death were one case of arrhythmia and one case of multiple organ failure.Conclusion:About 30.00%of patients with senile myocardial infarction have no obvious inducement,atypical symptoms or other symptoms,with a high misdiagnosis rate,a high incidence of complications and a high mortality rate,coronary artery stent implantation is an effective treatment method.
作者
陈盛安
Chen Sheng'an(Department of Emergency,the People's Hospital of Nanhai District,Foshan City,Guangdong Province,Guangdong Foshan 528200)
出处
《中国社区医师》
2020年第13期75-76,共2页
Chinese Community Doctors
关键词
急性心肌梗死
老年性
临床特征
Acute myocardial infarction
Elderly
Clinical features
