CAJ | 학술논문

目的：探讨基层医院年轻心肌梗死发病的临床特点、危险因素，提高对年轻急性心肌梗死的防治水平。方法：对我院2011年7月1日---2013年6月30日两年内我院心血管科出院患者中年龄小于60岁的急性心肌梗死43例患者的临床特点、危重因素进行分析。结果：年轻急性心肌梗死发病急、以男性为主、绝大多数有吸烟、性情急躁的特点，易误诊，但死亡率相对较低、就医及时，ST段抬高型及前壁心肌梗死发生的机会多。结论：急性心肌梗死年轻化趋势明显，且男性、吸烟者居多，对年轻疑似心肌梗死者，临床医生要高度重视，及时诊断并合理治疗，提高年轻心肌梗死诊疗水平。
목적：탐토기층의원년경심기경사발병적림상특점、위험인소，제고대년경급성심기경사적방치수평。방법：대아원2011년7월1일---2013년6월30일량년내아원심혈관과출원환자중년령소우60세적급성심기경사43례환자적림상특점、위중인소진행분석。결과：년경급성심기경사발병급、이남성위주、절대다수유흡연、성정급조적특점，역오진，단사망솔상대교저、취의급시，ST단태고형급전벽심기경사발생적궤회다。결론：급성심기경사년경화추세명현，차남성、흡연자거다，대년경의사심기경사자，림상의생요고도중시，급시진단병합리치료，제고년경심기경사진료수평。
Objective :To investigate the clinical features ,risk factors of young myocardial infarction in primary hospital ,to improve the level of preven-tion and treatment of acute young myocardial infarction .Methods:Critical factors in patients younger than 60 years of age in 43 acute myocardial in-farction patients were analysed in our hospital department of cardiovascular clinical characteristics in two years from July 1 2011 to June 30 2013 .Re-sults:Young acute myocardial infarction is acute onset ,male dominated ,the vast majority of smoking ,hot tempered ,and easy to be misdiagnosed . But the mortality is relatively low ,hospitalization is timely ,and ST segment elevation and anterior wall myocardial infarction opportunities are most . Conclusion :Acute myocardial infarction in young tendency is obvious ,and they are mostly male smokers ,young .Clinicians should pay close attention to suspected myocardial infarction ,take timely diagnosis and rational treatment to improve the level of diagnosis and treatment of young acute myocar-dial infarction .