摘要
目的：探讨老年人慢性肺心病伴发急性心肌梗死（ＡＭＩ）的临床特点。方法：对老年慢性肺心病伴发ＡＭＩ４０例（Ａ组）的ＡＭＩ行回顾性分析，以同期收治的老年单纯冠心病ＡＭＩ２８９例（Ｂ组）作对照。结果：Ａ组疼痛发生率（４００％）显著低于Ｂ组（７６８％），Ａ组急性左心衰、心源性休克发生率显著高于Ｂ组，分别为６００％与２４２％，４７５％与２２５％（Ｐ＜００１）；Ａ组病死率（４２５％）显著高于Ｂ组（１８３％）。肺心病对其伴发ＡＭＩ的发生部位无影响。
Objective: To investigate the clinical feature of acute myocardial infarction (AMI) in elderly patients with cor pulmonale. Method: The manifestation of AMI in 40 elderly patients with cor pulmonale (group A) was compared to that of 289 aged matched patients with AMI only (group B). Results: The incidence of chest pain in group A (40 0%) is significantly lower than that in the group B (76 8%). The incidence of acute left heart failure and cardiogenic shock in group A (60 0% and 47 5%) is significantly higher than these in the group B (24 2% and 22 5%). The mortality in group A (42 5%) is also significantly higher than that in group B (18 3%). There was no relativity between the location of AMI and cor pulmonale. Conclusion: AMI should be suspected in elderly patients with cor pulmonale complicated with sudden acute left heart failure and cardiogenic shock.
出处
《新医学》
1998年第5期246-247,共2页
Journal of New Medicine
关键词
肺心病
心肌梗塞
AMI
临床表现
老年人
Pulmonary heart disease, chronic Myocardial infarction,acute Clinical manifestation
