摘要
目的:探讨不典型急性心肌梗死的临床特点及诊治方法。方法:回顾分析74例不典型急性心肌梗死患者的临床资料。结果:74例患者根据症状不同而分别被误诊为消化系统疾病、呼吸系统疾病、神经系统疾病、循环系统疾病以及其他部位疼痛;50%的患者心电图表现为非Q性心肌梗死,97.3%的患者心肌酶明显升高。给予积极治疗后,治愈58例(78.38%),死亡16例(21.62%)。结论:对于年龄稍大的老年人,当出现不好解释的胃肠道、神经、循环系统症状以及异位疼痛时无论是否有冠心病史,均应考虑急性心梗的可能,并及时进行相关辅助检查以取得正确诊断。
Objective：To study atypical clinical features of acute myocardial infarction and treatment methods.Methods：Retrospective analysis of 74 cases of acute myocardial infarction patients with atypical clinical data.Results：74 patients were based on different symptoms mistaken for gastrointestinal diseases,respiratory diseases,nervous system diseases,circulatory diseases and other parts of the pain;50% of the ECG in patients with non-Q myocardial infarction;97.3% of patients enzyme significantly increased.Provide active treatment,58 cases were cured （78.38%）,16 patients died （21.62%）.Conclusion：For the older elderly,when a bad interpretation of the gastrointestinal tract,nervous,circulatory system ectopic pain symptoms and coronary heart disease regardless of whether history should consider the possibility of acute myocardial infarction and the associated time laboratory examinations to obtain the correct diagnosis.
出处
《医学信息（中旬刊）》
2011年第6期2305-2306,共2页
Medical Information Operations Sciences Fascicule
关键词
不典型心肌梗死
急性心肌梗死
心肌酶
心电图
Atypical myocardial infarction
Acute myocardial infarction
Enzyme
ECG
