论文部分内容阅读
目的 :对比分析合并心源性休克的老年、中青年急性心肌梗死患者的临床症状及预后。方法 :我们按照年龄段将70例合并心源性休克的急性心肌梗死患者分为老年组(年龄均≥65岁,共24例)与中青年组(年龄均<65岁,共46例),对比分析两组患者的临床症状及预后情况。结果 :老年组患者胸痛的发生率明显低于中青年组患者,其肺部感染、肾功能衰竭与心跳骤停的发生率明显高于中青年组患者,其死亡率也高于中青年组患者,差异有统计学意义(P<0.05)。另外,老年组患者的收缩压与舒张压高于中青年组患者,差异有统计学意义(P<0.05)。结论 :与合并心源性休克的中青年急性心肌梗死患者相比,合并心源性休克的老年急性心肌梗死患者临床症状不典型,但其并发症的发生率较高,其死亡率也较高。临床上在对合并心源性休克的老年急性心肌梗死患者进行治疗时,应严密监测其生命体征,及时处理其所出现的各种并发症,以期最大限度地降低其死亡率。
Objective: To compare the clinical symptoms and prognosis of elderly, middle-aged and young patients with acute myocardial infarction complicated by cardiogenic shock. Methods: Seventy patients with acute myocardial infarction complicated by cardiogenic shock were divided into the elderly group (age≥65 years, a total of 24 cases) and the middle-aged group (age <65 years, a total of 46 cases) Comparative analysis of two groups of patients with clinical symptoms and prognosis. Results: The incidence of chest pain in the elderly group was significantly lower than that in the middle-aged and young group. The incidence of pulmonary infection, renal failure and cardiac arrest was significantly higher in the elderly group than in the middle-aged group, and the mortality rate was also higher than those in the middle- , The difference was statistically significant (P <0.05). In addition, the systolic and diastolic blood pressure in elderly patients was higher than that in middle-aged patients (P <0.05). CONCLUSIONS: Compared with patients with acute myocardial infarction complicated by cardiogenic shock, the clinical symptoms of elderly patients with acute myocardial infarction complicated by cardiogenic shock are not typical, but the complication rates are higher and the mortality rate is higher . Clinically, in the treatment of elderly patients with acute myocardial infarction complicated by cardiogenic shock, their vital signs should be closely monitored and the various complications occurred in time, so as to minimize their mortality.