冠心病监护病房中的老年人。
The elderly in a coronary unit.
作者信息
Williams B O, Begg T B, Semple T, McGuinness J B
出版信息
Br Med J. 1976 Aug 21;2(6033):451-3. doi: 10.1136/bmj.2.6033.451.
The clinical features of myocardial infarction were compared in 104 patients over the age of 70 and 399 younger patients admitted to a coronary care unit. Absence of an age bar at 70 years has increased the number of admission to the unit by 24%, and the number of patients with proved infarcts by 26%. Severe complications are more common and mortality is doubled in the elderly. Although immediate management of primary ventricular fibrillation is as successful in older as in younger patients, treatment of the elderly with less dramatic conditions is less successful. The elderly survivors tend to spend longer in the coronary unit and subsequently in the general medical ward.
对收入冠心病监护病房的104名70岁以上患者和399名较年轻患者的心肌梗死临床特征进行了比较。取消70岁的年龄限制后，该病房的收治人数增加了24%，确诊梗死患者人数增加了26%。严重并发症在老年人中更为常见，死亡率也增加了一倍。虽然老年患者和年轻患者一样，对原发性心室颤动进行即时处理同样成功，但对病情较轻的老年患者进行治疗的成功率较低。老年幸存者往往在冠心病监护病房以及随后在普通内科病房停留的时间更长。
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