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老年人心肌梗塞较多见,其临床症状常不典型,并发症多,病死率较高。在收治过程中我们对其临床特点做到心中有数,加强观察及护理,使其死亡率逐年下降。我院自1982年1月～1983年12月共收治60岁以上急性心肌梗塞患者21例。7例就诊时即有严重的合并症,于入院后24小时以内死亡,其余14例(66.7%)均痊愈或明显好转出院,平均住院日数15日。本文试图就老年人非典型急性心肌梗塞的观察及护理谈谈我们的几点体会。
Elderly myocardial infarction is more common, the clinical symptoms are often atypical, more complications, higher mortality. In the course of treatment we do know the clinical features, strengthen observation and care, so that the mortality rate decreased year by year. Our hospital from January 1982 to December 1983 were treated 21 patients with acute myocardial infarction over the age of 60. Serious comorbidities were found in 7 cases and died within 24 hours after admission. The remaining 14 cases (66.7%) were cured or obviously discharged, with an average length of stay of 15 days. This article attempts to talk about some of our experiences with the observation and nursing of atypical acute myocardial infarction in the elderly.