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目的探讨分析老年心肌梗死患者与中青年心肌梗死患者的差别。方法回顾性分析所收治老年心肌梗死患者45例,中青年心肌梗死患者32例,从胸痛症状,合并症,梗死部位和冠脉造影等方面进行比较。结果中青年患者胸痛症状典型,合并症少,梗死面积小,多单支冠脉梗死;老年心梗患者胸痛症状多不典型,合并症,多梗死面积大,常多支冠脉梗死。结论老年心梗患者合并症较多,心功储备差,胸痛症状多不典型,易误诊漏诊,临床工作中应引起注意。
Objective To analyze the difference between elderly patients with myocardial infarction and young patients with myocardial infarction. Methods A retrospective analysis of 45 cases of elderly myocardial infarction patients admitted, 32 cases of young and middle-aged patients with myocardial infarction, chest pain, complications, infarction and coronary angiography were compared. Results The young patients had typical symptoms of chest pain with few comorbidities, small infarct size and single coronary artery infarction. The patients with senile myocardial infarction had atypical chest pain symptoms, comorbidities, multiple infarcts, and multiple coronary artery infarctions. Conclusion Elderly patients with myocardial infarction more complications, poor heart function reserve, chest pain symptoms are more typical, misdiagnosis misdiagnosis, clinical work should be noted.