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目的分析青年人急性心肌梗死(AMI)的临床特点,为临床治疗提供依据。方法分析青年人AMI的危险因素、诱发因素、症状、体征、血脂、冠状动脉造影等。结果青年组的主要临床特点为男性患者多,高血压发生率低,多有吸烟史、饮酒史、阳性家族史,发病时前驱症状少,但多数有典型的缺血性胸痛症状,心功能状态良好,ST段抬高常见,冠脉造影病变部位多位于左前降支,病变血管多为单支,并发症少,急性期病死率低。结论医师应当掌握青年AMI的临床发病特点,及时正确的诊断,在青年心肌梗死急性期,积极而有效地治疗,以抢救更多的心肌,帮助其安全渡过急性期。
Objective To analyze the clinical features of acute myocardial infarction (AMI) in young people and provide the basis for clinical treatment. Methods The risk factors, predisposing factors, symptoms, signs, blood lipids and coronary angiography were analyzed in young people. Results The main clinical features of the youth group were more male patients, lower incidence of hypertension, more smoking history, drinking history, positive family history, less prodromal symptoms at onset, but most had typical symptoms of ischemic chest pain, cardiac function status Good, ST-segment elevation common, coronary angiography and more lesions in the left anterior descending branch, the lesion is more than a single vessel, fewer complications, acute mortality rate is low. Conclusions Physicians should master the clinical features of AMI and diagnose them timely and correctly. In the acute stage of acute myocardial infarction, they should be actively and effectively treated to save more myocardium and help them to pass the acute phase safely.