Clinical characteristics of elderly patients with acute myocardial infarction and nursing observation.docVIP

 PAGE \* MERGEFORMAT 11 Clinical characteristics of elderly patients with acute myocardial infarction and nursing observation Of: Liang, JIANG Yun, Pan Yana, Wang Huan [Keywords:] acute myocardial infarction aged care Acute myocardial infarction (AMI is due to a sharp reduction or interruption of coronary blood supply, causing the corresponding myocardial cells and long-lasting severe acute ischemic necrosis. Acute myocardial infarction is common in the elderly A amp; E one of its typical clinical manifestations, concurrent disease and more high fatality rate. So grasp the characteristics of elderly patients with acute myocardial infarction in the early and effective treatment at the same reasonable care, to reduce complications and reduce the mortality of great significance .2006 January to January 2009 AMI patients admitted to our department 25 patients, aged 65 to 86 years old, have aura symptoms in 15 cases, 10 cases of atypical symptoms, diabetes mellitus, hypertension, cerebral infarction, etc., and 5 died. now report the following Nursing . 1 Clinical features of acute myocardial infarction 1.1 AMI elderly patients often do not have the typical chest pain, over the age of 65 AMI patients by symptom frequency, primarily shortness of breath, followed by chest pain. To the elderly should not be made without chest pain as the main basis for identification of AMI, the elderly, such as shortness of breath appear, pale, faint consciousness and other symptoms should consider the possibility of occurrence of AMI, the elderly private prosecution upper abdominal discomfort and nausea, vomiting, acid reflux, etc., should be asked in detail about the history of usually no stomach, stomach pain and food availability significant relationship, need attention and identification of AMI, admitted to our department for more than 3 cases of abdominal pain as the main performance of the AMI patients. 1.2 old suddenly unconscious, seizures, more serious illne