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1、老年冠心病120例臨床特點(diǎn)分析作者：陳形，孫艷萍，李爽，譚曉紅，吳丹單位:110034遼寧沈陽(yáng)，沈陽(yáng)二四二醫(yī)院【摘要】目的探討老年人冠心病的臨床特點(diǎn)。方法結(jié)合冠心病的臨床分型標(biāo)準(zhǔn)，對(duì)我院2004年10月—2007年12月住院的120例老年冠心病患者的臨床資料進(jìn)行冋顧性分析。結(jié)果120例患者年齡在64?94歲。臨床表現(xiàn)為：無(wú)癥狀型冠心病13例，單純心絞痛17例，單純心肌梗死14例，單純心律失常11例，心絞痛或心肌梗死合并心律失常39例，心絞痛或心肌梗死合并心力衰竭26例。38例心肌梗死的病例中，25例表現(xiàn)為非ST段抬高性心肌梗死，13例
2、表現(xiàn)為ST段抬高性心肌梗死。40例心律失常的病例中，心房纖顫9例，房撲1例，室性期前收縮8例，房早16例，室內(nèi)傳導(dǎo)阻滯10例，房室傳導(dǎo)阻滯4例，病竇綜合征2例。其中部分病例有多種心律失常。結(jié)論老年冠心病具有心律失常檢出率高，易合并心力衰竭，心絞痛癥狀不典型，無(wú)癥狀者多，非ST段抬高性心梗發(fā)生率高等特點(diǎn)。【關(guān)鍵詞】老年人；冠心病；臨床特點(diǎn)Analysisonclinicalcharacteristicsof120elderpatientswithcoronaryheartdiseaseCHENTong,SUNYan-ping,LIShuang,et
3、al.DepartmentofCardiology,The242thHospitalofShenyang,Shenyang110034,China[Abstract]ObjectiveToexploretheclinicalcharacteristicsofthecoronaryheartdisease(CHD).MethodsAccordingtotheclinicalclassifiedcriteriaofCHD,theclinicaldataofonehundredandtwentyelderlyinpatientswithCHDfromO
4、ctober2004toDecember2007inourhospitalwereretrospectivelyanalyzed.ResultsTheclinicalsymptomsofonehundredandtwentyinpatientswithCHD(64to94yearsold)wereasfollowed:thirteennon-symptomsCHD,seventeensimpleanginapectoris,fourteensimplemyocardialinfarctionandelevensimplecardiacarrhyt
5、hmiacases?Thirty-ninecasesofanginapectorisormyocardialinfarctionwerecombinedwithcardiacanhythmia.Twenty-sixcasesofanginapectorisormyocardialinfarctionwerecombinedwithheartfailure.Inthirty-eightcasesofmyocardialinfarction,thereweretwenty-fivenonST-segmentelevationmyocardialinf
6、arctioncasesandthirteenST-segmentelevationmyocardialinfarctioncases.Infortycasesofcardiacarrhythmia,therewerenineatrialfibrillation,oneatrialflutter,eightatriorventricularjunctionalprematurecontractions,sixteenatrialprematurecontractions,tenintraventricularblock,fouratriovent
7、ricularblockandtwosicksinussyndromecases?Someofcaseshadmulti-kindsofcardiacarrhythmia.ConclusionTheelderlyinpatientswithCHDhavethefollowingcharacteristics:theverifyingratesofcardiacarrhythmiaandoccumngratesofnonST-segmentelevationmyocardialinfarctionarehighe匚Theinpatientshave
8、noornon-typicalsymptomsinanginapectorisandareeasytobecombinewithhear
