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心脏超声对不同年龄老年心肌梗死患者的诊断效果

The effect of echocardiography in the diagnosis of myocardial infarction in elderly patients of different ages

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【作者】 何斌; 朱秀龙; 韦国雄; 苏杭; 林晓春;

【Author】 HE Bin;ZHU Xiulong;WEI Guoxiong;SU Hang;LIN Xiaochun;Department of Cardiovascular Ulltrasound,Gaozhou People’s Hospital;

【机构】 广东省高州市人民医院心血管超声科;

【摘要】 目的探究心脏超声对不同年龄老年心肌梗死患者的诊断效果。方法选取该院收治的90例老年急性心肌梗死患者作为研究对象,根据年龄不同分为60~70岁、>70~80岁、80岁以上3组,采用心脏超声检测技术分别对3组患者进行检查,比较分析检查结果。结果 80岁以上组患者前壁、下壁心肌梗死发病率为43.33%、40.00%,明显高于后下壁及前壁加下壁的10.00%、6.67%,差异均有统计学意义(P<0.05)。80岁以上组患者左心室内径≥50mm、左心房内径≥39mm发病率为36.67%、43.33%,明显高于左心室内径<50mm、左心房内径<39mm的13.33%、6.67%,差异均有统计学意义(P<0.05)。结论对80岁以上患者采用心脏超声诊断效果较好,具有重要筛查意义。

【Abstract】 Objective To investigate the diagnostic effect of echocardiography on elderly patients with myocardial infarction at different ages.Methods A total of 90 elderly patients with acute myocardial infarction treated in the hospital were selected as the research subjects.According to the age,they were divided into three groups,60-70 years old,>70-80 years old,over 80 years old,the cardiac ultrasound detection technology was performed in three groups,and the results were compared and analyzed.Results The incidence of anterior and lower wall myocardial infarction in patients over 80 years old was 43.33%and 40.00%,which was significantly higher than 10.00% of posterior inferior wall and 6.67% of anterior wall plus inferior wall,the difference was statistically significant(P<0.05).The incidences of left ventricular diameter more than 50 mm and left atrium diameter more than 39 mm in patients over 80 years old were 36.67% and 43.33%,which were significantly higher than 13.33% of left ventricular diameter<50 mm,and 6.67% of left atrium diameter<39 mm,the difference was statistically significant(P<0.05).Conclusion For patients over 80 years old,the effect of cardiac ultrasound diagnosis is relatively good,which has important screening significance.

  • 【文献出处】 检验医学与临床 ,Laboratory Medicine and Clinic , 编辑部邮箱 ,2018年12期
  • 【分类号】R445.1;R542.22
  • 【被引频次】5
  • 【下载频次】44
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