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目的 :总结老年人急性心肌梗塞(AMI)静脉溶栓治疗经验。方法 :对82例老年人AMI的临床资料及其中75例的溶栓治疗资料进行分析。结果 :老年人AMI时 ,无胸痛史达54.9% ,入院心电图ST—T缺乏典型改变占45.3%。经静脉溶栓治疗 ,梗塞动脉开通率为62.9 % ,与70岁以下AMI组溶栓开通率比较(65 %) ,无统计学差异。结论 :老年人AMI发病时 ,临床表现及心电图改变常不典型 ,应引起重视。在本文条件下老年人AMI静脉溶栓治疗是安全的 ,应尽早进行
Objective: To summarize the experience of intravenous thrombolysis in the elderly with acute myocardial infarction (AMI). Methods: The clinical data of 82 elderly patients with AMI and 75 cases of thrombolytic therapy data were analyzed. Results: In AMI, 54.9% had no chest pain and 45.3% had ST-T deficiency on admission electrocardiogram. After intravenous thrombolysis, infarction artery opening rate was 62.9%, compared with AMI patients under 70 years of thrombolysis rate (65%), no significant difference. Conclusion: The incidence of AMI in the elderly, the clinical manifestations and ECG changes are often not typical, should pay attention. AMI intravenous thrombolysis in the elderly under this condition is safe and should be performed as soon as possible