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目的：对比观察女性急性心肌梗死（ Ａ Ｍ Ｉ） 与男性 Ａ Ｍ Ｉ，探讨绝经前、围绝经期、绝经后及老年期等不同年龄段女性 Ａ Ｍ Ｉ临床特点。方法：对６４ 例女性 Ａ Ｍ Ｉ和１５４ 例男性 Ａ Ｍ Ｉ分别统计住院期间梗死部位、并发症、病死率，卡方检验。结果：①女性较男性晚６ 年发生 Ａ Ｍ Ｉ；② Ｑ波梗死与性别之间无差异（ Ｐ＞ ００５） ，女性随年龄增加，非 Ｑ 波梗死发生率增加；③女性 Ａ Ｍ Ｉ并发症略高于男性，但无差异（ Ｐ＞ ００５） ；④女性 Ａ Ｍ Ｉ病死率显著高于男性（ Ｐ＜ ００５） 。提示：随年龄增加， Ａ Ｍ Ｉ中女性发生率及 Ｑ 波梗死增加，与雌激素水平密切相关，激素替代疗法可能降低女性冠心病发生率。
OBJECTIVE: To compare the clinical features of AML in women with acute myocardial infarction (AMI) and men with AMI at different pre-menopausal, perimenopausal, postmenopausal and senile stages. Methods: 64 cases of female A M I and 154 cases of male A M I were counted during hospitalization infarction, complications, mortality, chi square test. Results: (1) A M I occurred in women 6 years later than men; (2) There was no difference between Q wave infarction and sex (P> 0.05); women increased with age and the incidence of non-Q wave infarction increased; Complications slightly higher than men, but no difference (P> 005); ④ female A M I mortality was significantly higher than men (P <0 05). Prompted: With age, women with A M I incidence and Q-wave infarction increased, and estrogen levels are closely related to hormone replacement therapy may reduce the incidence of coronary heart disease in women.