不同性别老年人急性心肌梗死的临床特点(PDF)
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2001年第2期
- 页码:
- 139-140
- 栏目:
- 论著
- 出版日期:
- 2001-03-01
文章信息/Info
- Title:
- The clinical charecteristics of acute myocardial infarction in the different sexual elderly patients
- Author(s):
- SHEN Shi-hai; JIN Miao-zhen
- Department of Cardiology,Jiangyan People’s Hospital，Jiangyan Jiangsu 225500，China
- Keywords:
- aged; women; myoeardial infarction; acute; clinical characteristics
- 分类号:
- R542.22
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的 了解不同性别老年人急性心肌梗死(AMI)的临床特点.方法 对1988年-1998年收治的298(男223,女75)例老年首发AMI进行男女对比分析。结果 女性既往有高血压(62．7%)、糖尿病(34．7%)者高于男性(41．3%，17．9%)，发病至就诊时间>24 h或不明确者(64%)多于男性(28.3% ),吸烟者(6．7% )少于男性(58．3%)。发病后心力衰竭、心源性休克发生率、急性期病死率(48%,25．3%，40%)高于男性(27.4%,11.2%，22．4%)。结论 老年女性AMI患者严重并发症多，急性期病死率高．
- Abstract:
- AIM To study the clinical characteristics of acute myocardial infarction (AMI)in the different sexual elderly patients．METHODS 298 cases patients were comparatively analized between male (223 cases)and female (75 cases)from l988 to l998.RESULTS The result shows that elderly female patients had a higher prevalence of hypertension (62．7%)and diabetes (34.7%)than that of male patients (41.3% ，17.9% )，whereas elderly male patients were more frequently smokers(58.3% vs 6．7% )，patients with initial consulting time> 24 h or unknown were more in elderly female group (64%)than that of male group (28.3%)．The complications such as heart failure，cardiogenic shock and acute mortality were also more common in elderly female group (48%，25.3%，4O%)than that of male group (27.4% ，11.2% ，22.4% )．CONCLUSION The serere complications and acute mortality in elderly female patients seem to more than that in male pattients．
参考文献/References
[1]梁万宁，吴赛珠，刘伊丽，等．绝经后妇女冠心病患者性激素变化的研究[J]．中华心血管病杂志，1998，26(3)：181．
[2]李光伟,胡英华,杨文，等．胰岛素抵抗、胰岛素分泌功能对2型糖尿病发生的影响[J].中华内科杂志，1998，37(9)：600．
[3]夏维波，李长育，宋光华，等．胰岛素抵抗在高血压病患者升压机制的探讨[J]．中华心血管病杂志，1997，25(2)，116．
[4]张丽华，汤建民，刘宗芳．雌激素对绝经后冠心病患者胰岛素抵抗与血脂的影响[J]．临床心血管病杂志，1999，15(3)：133．
[5]杨金云，刘小琼，宁来忠．高血压患者急性心肌梗塞的临床特点[J]．中国高血压杂志．1995，3(1)：32．
[6]代正学,贾国良,李兰荪，等．伴有非胰岛素依赖型糖尿病冠心病患者冠状动脉病变和临床特征分析[J]．第四军医大学学报，1999,20(4):304．
备注/Memo
- 备注/Memo:
- 收稿日期：2000-06-06.
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更新日期/Last Update: 2001-03-01