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1、老年冠心病120例临床特点分析作者：陈形，孙艳萍，李爽，谭晓红，吴丹单位:110034辽宁沈阳，沈阳二四二医院【摘要】目的探讨老年人冠心病的临床特点。方法结合冠心病的临床分型标准，对我院2004年10月—2007年12月住院的120例老年冠心病患者的临床资料进行冋顾性分析。结果120例患者年龄在64〜94岁。临床表现为：无症状型冠心病13例，单纯心绞痛17例，单纯心肌梗死14例，单纯心律失常11例，心绞痛或心肌梗死合并心律失常39例，心绞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例表现为非ST段抬高性心肌梗死，13例
2、表现为ST段抬高性心肌梗死。40例心律失常的病例中，心房纤颤9例，房扑1例，室性期前收缩8例，房早16例，室内传导阻滞10例，房室传导阻滞4例，病窦综合征2例。其中部分病例有多种心律失常。结论老年冠心病具有心律失常检出率高，易合并心力衰竭，心绞痛症状不典型，无症状者多，非ST段抬高性心梗发生率高等特点。【关键词】老年人；冠心病；临床特点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
