对28例青年(32～45岁)与56例老年(61～85岁)AMI进行对照分析,发现青年组86％以上病例否认以往有心绞痛病史,首次发病就是AMI临床表现。青年组AMI有典型胸痛者占100％,青年组吸烟占71.4％,酗酒占21.4％,有明显诱因者占85.7％,均明显高于老年组(P<0.01)。青年组和老年组AMI并发症分别为39.3％和73.2％(P<0.01)。提示工作要有节奏,生活要有规律,避免过量吸烟、强烈应激、过度劳累和酗酒是减少青年人发生AMI的重要措施。 A control study of AMI in 28 young adults (32-45 years old) and 56 elderly (61-85 years old) found that more than 86% of young patients denied the history of angina and the first onset was the clinical manifestation of AMI. The youth group had typical AMI with chest pain at 100%, the young group with smoking at 71.4%, alcohol abuse at 21.4%, and obvious inducement at 85.7%, both of which were significantly higher than the elderly group (P <0.01). The AMI complications in the youth group and the elderly group were 39.3% and 73.2% (P <0.01), respectively. Prompt work should be rhythmic, have a regular life, to avoid excessive smoking, intense stress, overwork and alcoholism is to reduce young people AMI important measure.