摘要
目的：探讨心电图ST段抬高的非急性心肌梗死患者的原因，提高对ST段抬高心电图的认识，减少误诊误治。方法：对1997年1月～2003年12月，因胸痛胸闷、心电图ST段抬高在北京协和医院行急诊冠状动脉造影的患者进行回顾，并着重对其中13例冠状动脉造影阴性患者原因进行分析。结果：在402例心电图ST段抬高进行急诊冠状动脉造影患者中，13例冠状动脉造影阴性，占3．2％。冠造阴性患者的诊断分别为：肺梗塞2例，心包炎2例，心肌病1例，早期复极综合征2例，变异性心绞痛1例，Brugada征1例，肺大泡1例，正常人3例。结论：心电图ST段抬高且合并胸痛，不仅仅出现在急性心肌梗死的患者，还可以出现在其它病人和正常人群中，仔细追问病史，查体，细心观察心电图变化和其它实验室分析，既能避免急性心肌梗死的漏诊，也减少了误诊误治。
Objective：To explore the causes of ST elevation in non- acute myocardial infarction with chest pain. Methods： From January 1997 to December 2003, the patients with chest pain and ST elevation visited in Beijing union hospital performed coronary arteriongraphy. 13 of them with negative results were analysed. Results： 13 of 402 patients was negative in coronary arterlongraphy. The negative rate was 3.2 %. 2 of 13 patients were pulmonary embolism, 2 pericardltis, 1 myocarditis, 2 early repolarization, 1 prinzmetal＇ s angina, 1 Brugada syndrome, 1 pulmonary bulla and 3 normals. Conclusions：Although ST elevation and chest pain are commoin in acute myocardial infarction,it shows in other patients, even in normals. Careful inquesting patient history, check - up,observing changes of ECG and other laboratory examination can less misdiagnosis and mistreatment.
出处
《内蒙古医学杂志》
2006年第8期716-718,共3页
Inner Mongolia Medical Journal
