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老年急性冠脉综合征79例临床分析
引用本文:李秀娟,赵立辉,马爱君,王淑强,李鹏.老年急性冠脉综合征79例临床分析[J].河北北方学院学报(医学版),2008,25(3).
作者姓名:李秀娟  赵立辉  马爱君  王淑强  李鹏
作者单位:1. 河北北方学院医学院病理教研室,河北,张家口,075000
2. 河北省张家口市第一医院心血管内科,河北,张家口,075000
3. 山西医科大学麻醉系,河北,太原
摘    要:目的:探讨老年急性冠脉综合征的临床特点,为临床诊治该病提供参考依据。方法:收集2003~2007年79例老年急性冠脉综合征患者,74例老年稳定性心绞痛患者临床资料,比较两组的基线情况。结果:老年急性冠脉综合征组并存高血压、糖尿病、脑梗死,高FG、高hs-CRP者与老年稳定性心绞痛组比较明显增多,血脂明显升高;心律失常的严重程度明显增高,心功能不良程度明显加重。结论:高血压、糖尿病、脑血管病,高FG、高hs-CR、高血脂症及心律失常等与老年急性冠脉综合征密切相关,临床诊治该病应考虑其易患因素,早期诊断和及时治疗,可降低患者的病死率。

关 键 词:心绞痛  冠状动脉疾病  综合征

Clinical Analysis on Senium Acute Coronary Syndromes
LI Xiu-juan,Zhao Li-hui,MA Ai-jun,WANG Shu-qing,LI Peng.Clinical Analysis on Senium Acute Coronary Syndromes[J].Journal of Hebei North University:Medical Edition,2008,25(3).
Authors:LI Xiu-juan  Zhao Li-hui  MA Ai-jun  WANG Shu-qing  LI Peng
Abstract:Objevtive:To explore the clinical feature of SACS and offer basis for clinical diagnosis and treatment.Methods:The conditions of Baseline among 79 patients suffering from SACS and 74 patients suffering from Stabile Angina Pectoris from 2003 to 2007 were compared.Results:Patients in SCAS were conspicuously combining Hypertention Diabetes Mellitus and Cerebral Infarction;their FG,hs-CRP and Blood Fat were obviously rising than that of Stabile Angina Pectoris group.The Arrhythmia of SCAS the group was evident.Conclusion:SACS is correlated closely with Hypertension,Cerebrovaseular Disease,Hyper-FG,Hyper-hs-CRP,Hyper Blood Fat and Arrhythmia.The liability factors should be considered to cut down the death rate when the disease is treated.
Keywords:Angina Pectoris  Coronary Disease  Syndrome
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