论文部分内容阅读
[目的]探讨延边朝鲜族急性心肌梗死病人的发病及预后特点。[方法]回顾分析531例延边朝鲜族冠心病急性心肌梗死(AMI)患者,分别记录其一般情况,病史特征,化验检查和心电图,诊断、治疗及预后等,比较不同性别AMI患者的临床特征、不同部位的死亡差异。[结果]与男性相比,女性患者AMI患病率低,年龄偏大,高血压和糖尿病患病率高,病死率高(P﹤0.01);男性患者吸烟、饮酒史多,高脂血症患病率高(P﹤0.01)。广泛前壁AMI发生率最高(24.29%),其次是下壁AMI(23.92%),广泛前壁、下壁的死亡数占总死亡病例的一半以上,广泛前壁合并下壁的病死率最高25%。[结论]延边朝鲜族AMI以前壁和下壁为主,男性仍是发生AMI的主要人群,不同性别A-MI患者入院时临床特征差异显著,女性病死率高。广泛前壁合并下壁心肌梗死的病死率显著高于急性心肌梗死平均病死率。
[Objective] To investigate the onset and prognosis of Korean patients with acute myocardial infarction in Yanbian. [Methods] A retrospective analysis of 531 cases of Korean patients with acute myocardial infarction (AMI) with coronary heart disease in Yanbian, respectively, were recorded the general situation, history characteristics, laboratory tests and ECG, diagnosis, treatment and prognosis of patients with different gender AMI clinical features, Different parts of the death difference. [Results] Compared with males, female patients had lower prevalence of AMI, older age, higher prevalence of hypertension and diabetes, and higher mortality (P <0.01). Male patients had more history of smoking, alcohol consumption and hyperlipidemia The prevalence was high (P <0.01). The prevalence of AMI in the wide anterior wall was the highest (24.29%), followed by the inferior wall AMI (23.92%), with extensive anterior and inferior wall deaths accounting for more than half of the total deaths and extensive anterior wall merging with the highest case fatality rate %. [Conclusion] The main AMI population in Yanbian Korean AMI is mainly male and female. AMI in different sexes has significant clinical features at admission, and female mortality is high. The overall anterior wall merger with inferior wall myocardial infarction mortality was significantly higher than the average mortality rate of acute myocardial infarction.