本文报告69例60岁以上急性心肌梗塞,男45例,女24例。由于老年人各组织器官生理功能衰退,往往临床表现不典型,并发症多,应当引起高度重视。本组首发症状为胸痛者42例,占60.86％;无胸痛者27例,占39.14％。无胸痛者主要表现为上腹痛、背痛、咽痛13例,心力衰竭8例,休克3例,胃肠道症状3例。主要的并 This article reports 69 cases of acute myocardial infarction over the age of 60, 45 males and 24 females. Due to the decline of physiological functions of the organs and tissues of the elderly, often atypical clinical manifestations, complications and more, it should be attached great importance. The first symptom of this group were 42 cases of chest pain, accounting for 60.86%; 27 cases without chest pain, accounting for 39.14%. No chest pain were mainly abdominal pain, back pain, sore throat in 13 cases, heart failure in 8 cases, shock in 3 cases, gastrointestinal symptoms in 3 cases. The main and