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目的对高龄急性心肌梗塞患者的临床特点进行分析。方法我院接收治疗急性心肌梗死并且病历资料相对完整的患者共318例,分为对照和高龄组,通过对比分析两组患者的病例(包括:一般情况、危险因素、梗塞部位、病史、心肌酶学、血脂水平以及左室射血分数等)特点。结果和对照组比较可见,高龄心梗的患者中出现收缩压增大、左室射血分数的减小以及脉压增大。结论梗塞本身的严重并不能作为高龄心肌梗塞的患者预后不良的最根本原因,而其发病之前的心功能与健康状况差是主要原因,发病之后在类似的心肌损伤程度的情况下,更为多见心力衰竭,并发症也更容易出现。
Objective To analyze the clinical features of elderly patients with acute myocardial infarction. Methods A total of 318 patients with acute myocardial infarction who received relatively complete medical records were divided into control group and advanced age group. By comparing the two groups of patients (including general conditions, risk factors, infarction location, history, myocardial enzymes School, blood lipid levels and left ventricular ejection fraction, etc.) characteristics. Results Compared with the control group, systolic blood pressure increased, left ventricular ejection fraction decreased, and pulse pressure increased in patients with advanced myocardial infarction. Conclusions The seriousness of infarction itself can not be regarded as the most important cause of poor prognosis in elderly patients with myocardial infarction. The main cause of poor cardiac function and health before onset is more in the case of similar myocardial injury after onset See heart failure, complications are more likely to occur.