摘要：目的探讨青年人急性心肌梗死患者发病的危险因素、临床特点、预后。方法收集64例<45岁青年急性心肌梗死的患者及94例老年急性心肌梗死的患者进行对比，从冠心病的危险因素，临床症状、冠脉造影结果及预后4个方面进行回顾性分析。结果本研究青年人急性心梗患者以吸烟、冠心病家族史阳性率与中老年组相比有统计学差异(P<0.05)，青年人冠心病症状典型，造影显示以单支病变为主，并发症以心律失常为主，治疗预后好。结论男性、吸烟、冠心病阳性家族史是青年急性心肌梗死的最主要危险因素。

    关键词：急性心肌梗死；青年

    Clinical Analysis of Acute Myocardial Infarction in Young People

    MA Ya-jun

    (Beijing City Dongcheng District Dongsi Street East Community Station,Beijing 100007,China)

    Abstract：ObjectiveThis article aims to discuss the key risks, clinical symptoms and prognosis of youth AMI. MethodsTotally 64 cases of under-45 AMI are collected to compare with 94 senior citizen cases. The review analysis is completed in 4 dimensions, i.e. risks, clinical symptoms, coronary angiography. Results Youth AMI patients feature statistics variance (P<0.05) with senior patients, in terms of smoking and positive rate of coronary disease family history. The symptoms are with typical, e.g. single vessel shown on radiography; accompanied by arhythmia; positive prognosis after treatment. ConclusionThe key risks of youth AMI are male, smoking, coronary disease family history. ......