【摘要】 目的　探讨老年女性急性心肌梗死 (AMI)临床及冠状动脉造影的特点 .方法　对老年AMI10 7例 ,分女性组 (A组 ) 33例 ,男性组 (B组 ) 74例 ,分析其临床症状、血脂水平、冠状动脉病变特点 .结果　①女性组AMI发病的平均年龄晚 ,平均病史短 ;以胸闷、气短、恶心、呕吐、晕厥等为首发症状为主 ;②两组并高血压均较高 ;③女性组糖尿病及高脂血症史 ,冠脉两支以上病变 ,心功能NYHA分级Ⅲ、Ⅳ级均较男性组高 (p <0 .0 5 ) ;④女性组并发心源性休克和泵衰竭高于男性 (p均 <0 .0 5 ) .结论　女性组发病年龄晚 ,相对病史短 ,临床不典型 ,伴发病及并发症多 ,临床易误诊及漏诊更多还原

【Abstract】 Objective To study on the clinical and coronary angiographic characteristics in the elderly female patients with acute myocardial infarction(AMI). Methods Retrospective analysis was performed on 107 elderly patients(≥60yrs) with AMI. The patients were divided into 2 groups: the elderly female group (group A, n=33) and the elderly male group (group B, n=74), comparing their clinical characteristics, plasma level of lipid, coronary angiographic characteristics and so on. Results ①The average age of the patients was older and the case history was shorter in group A than those in group B. ②In group A the symptoms such as chest tightness, nausea, vomit, syncope and so on were higher than in group B.③Concomitant hypertension was frequent in the two groups, but there was no significant difference between two groups(p>0.05). ④Concomitant diabetes mellitus, hyperlipidemia, multi-vessel lesions and the cardiac dysfunction(NYHA class: Ⅲ, Ⅳ) were more commonly found in group B. The differences were statistically significant between two groups (p<0.05). ⑤The occurrence rate of cardiogenic shock, congestive heart failure were higher in group A than those in group B. There was significant difference between two groups (p<0.05). Conclusions The characteristics of elderly female patients with AMI include: a relatively shorter history, older age, a series of atypically clinical symptoms, more complications, a high mortality and so on. Treatment in time is very important.更多还原