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目的:探索高龄老年人急性心梗特点及诊断。方法:回顾分析南京军区福州总医院1999-01-2008-12收治的急性心梗首诊误诊32例临床资料。结果:死亡3例,其中心源性猝死1例,心源性休克1例,心律失常1例;余29例3周后病情稳定后出院,常规二级预防用药。结论:高龄老年人急性心梗首发症状不典型发生率极高,极易误漏诊。详细询问病史,整体分析,及时选做心电图、心肌酶、肌钙蛋白等有利早期诊断。
Objective: To explore the characteristics and diagnosis of acute myocardial infarction in the elderly. Methods: A retrospective analysis of Fuzhou General Hospital of Nanjing Military Command from January 1999 to December 2008 admitted to the first diagnosis of acute myocardial infarction misdiagnosis of 32 cases of clinical data. Results: 3 died, including 1 case of sudden cardiac death, 1 case of cardiogenic shock and 1 case of cardiac arrhythmia. The remaining 29 cases were discharged after 3 weeks of stable condition and were discharged for general secondary prevention. Conclusion: The incidence of atypical first-onset acute myocardial infarction in elderly patients is very high, which can easily miss the diagnosis. Asked in detail the history, the overall analysis, timely selection of electrocardiogram, myocardial enzymes, troponin and other beneficial early diagnosis.