| 李静,华琦.1056例不同症状的心肌梗死患者求治时问临床特点比较[J].Chinese journal of Epidemiology,2007,28(6):597-600 |
| 1056例不同症状的心肌梗死患者求治时问临床特点比较 |
| Study on tlle health seeking behaVior and clinical characteristics in 1056 patients with Various symptoms of myocardial infarction |
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| DOI： |
| KeyWord: 心肌梗死 时间延迟 临床特点 |
| English Key Word: Myocardialinfarction Time delay clinical characteristics |
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| Abstract: |
| 目的比较典型和非典型症状的急性心肌梗死患者时间延迟和临床特点。方法收集1993-2005年宣武医院就诊初发急性心电图sT段抬高心肌梗死患者资料1056例, 按照症状分为非胸痛组和胸痛组, 对两组时间延迟、I临床特点(包括性别、年龄、吸烟率、肾功能、并发症)以及住院病死率进行比较。结果(1)1056例患者中, 非胸痛患者258例, 占24.4%;非胸痛和胸痛组, 女性比例分别为34.1%和25.6%(P<0.01), 年龄分别为66.4岁±11.9岁和62.0岁±12.1岁(P<0.001), 吸烟者比例分别为38.8%和52.o%(P结论非胸痛患者在心肌梗死病例中占24.4%, 两组人群在时间延迟、临床特点和病死率等方面有着明显的差异, 非典型症状的患者病情更为严重, 预后更差。 |
| English Abstract: |
| 0bjective To compare the delay of health seeking and the characteristics in patients of st segment elevation myocardial infarction with various symptoms.Methods 1056 patients with STEMI were divided into two groups acoording to the types of symptoms, either typical or atypical and comparison was made on factors as:the delay of seeking help, clinical characteristics(gender，age，smoking，patient's condition and complications)and in-hospital mortality. Results (1)Among 1056 patients，258 had atypical symptoms(24.4%).when comparing typical and atypical groups，female patients taking up 34.1%and 25.6%(PConclusion The proportion of patients with atypical symptom took about one fourth and there was significant difference on the factors as delay of seeking help, clinical characteristics and in-hospital mortality.Patients with atypical symptom had more severe condition and worse prognosis. |
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