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目的系统化总结分析年轻心肌梗塞患者的基本临床表现特点,以及动脉造影结果,为临床医师不断改善提升年轻心肌梗塞患者的临床治疗处置效果,构筑和提供基础性经验借鉴条件。方法择取2011年1月~2017年1月期间,我院临床收治的接受住院治疗处置的年轻心肌梗塞患者56例作为本次研究对象,针对全部患者的临床病例记录资料展开全面系统的阅读梳理分析。系统化总结归纳年轻心肌梗塞患者的基本临床表现特点,以及动脉造影结果。结果本组56例患者中,有11例患者具备高血压疾病既往病史,有10例患者具备高胆固醇血症既往病史,有35例患者在本次接受治疗处置过程中规范测定了载脂蛋白含量生理指标,且有32例患者的Apo AI/Apo B生理指标的测定结果表现状态异常。有13例患者具备明确的冠心病家族病史,有19例患者具备明确的高血压疾病或者是脑血管系统疾病家族病史,通过对患者临床病例记录资料的系统分析,发现有38例患者可以确定明确的发病诱因:其中有14例患者因过度劳累而发病,有8例患者因饱餐而发病,有6例患者因饮酒而发病,有3例患者因短时间内大量吸烟而发病,有3例患者因饮酒、吸烟以及长期夜间打牌而发病。在针对全部患者展开动脉造影检查背景之下,证实有10例患者未出现明显异常,有32例患者发生单支病变,且分别有7例发生双支病变,以及三支病变。结论心肌梗塞疾病的主要发病引致因素,包含过度劳累、饱餐、饮酒、短时间内大量吸烟,以及长时间熬夜打牌或者是打麻将等多个具体方面。针对年轻心肌梗塞患者的基本临床表现特点,以及动脉造影结果展开全面系统梳理分析,能够助力临床相关科室医师,清晰认识年轻心肌梗塞患者的临床特点,在针对性制定科学合理的治疗方案背景之下,保障和支持患者能够顺利获得最佳的治疗效果。
Objective To systematically summarize and analyze the basic clinical manifestations of young patients with myocardial infarction and arterial angiography results for clinicians to improve the clinical treatment of young patients with myocardial infarction treatment effect, to build and provide basic experience for reference conditions. Methods From January 2011 to January 2017, 56 cases of young myocardial infarction admitted to our hospital for admission to hospital for treatment were selected as the subjects of this study. All patients’ clinical records were read in a comprehensive and systematic manner analysis. A systematic summary of the basic clinical features of young myocardial infarction patients, and angiography results. Results Of the 56 patients in this study, 11 patients had a history of previous medical history of hypertension, 10 had a history of previous hypercholesterolemia, and 35 patients had normalized apolipoprotein levels during this treatment Physiological indicators, and 32 patients with Apo AI / Apo B physiological indicators measured results showed abnormalities. Thirteen patients had a well-defined family history of coronary artery disease, 19 patients had definite hypertension or family history of cerebrovascular disease, and by systematic analysis of patient clinical data, 38 patients were identified The incidence of incentives: of which 14 patients due to over-exertion and disease, 8 patients due to food-borne illness, 6 patients due to drinking and illness, 3 patients due to a large number of short-term smoking and disease onset, 3 patients Due to drinking, smoking and long-term night card play disease. In the context of an angiographic examination of all patients, no significant abnormalities were confirmed in 10 patients, a single vessel disease in 32 patients, and a double vessel disease in 7 patients, as well as three lesions, respectively. Conclusions The main causes of MI are caused by many factors, including over-exertion, full meal, alcohol intake, heavy smoking in a short period of time, long stay-night playing cards or playing mahjong. In view of the basic clinical features of young patients with myocardial infarction and arterial angiography results to conduct a comprehensive systematic combing analysis can help clinicians in clinical departments, a clear understanding of the clinical features of young patients with myocardial infarction in the development of targeted scientific and rational treatment programs , To protect and support patients to successfully obtain the best treatment.