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本文对464例AMI中呈各种非典型表现的100例与有典型胸痛者364例进行对照分析。100例中,疼痛部位不典型者60例,无疼痛而表现为胸闷不适、左心衰竭、心律失常、脑循环障碍等40例。平均年龄非典型组68.5岁,典型组55岁;发病至入院时间非典型组平均为27.5小时,典型组8.5小时;住院病死率非典型组32%,典型组11%,非典型组60%的患者首诊时被误、漏诊。表明非典型患者以老年人发病多,就诊晚,易延误诊治,死亡率高。提示临床上应警惕非典型发作的AMI。
In this paper, 464 cases of AMI showed various atypical manifestations of 100 cases with typical chest pain in 364 cases were compared. 100 cases, 60 cases of atypical pain, no pain and manifested as chest discomfort, left heart failure, arrhythmia, cerebral circulation disorders in 40 cases. The mean age was 68.5 years in the atypical group and 55 in the typical group; mean age at onset to admission was 27.5 hours in the atypical group and 8.5 hours in the typical group; in-hospital mortality was 32% in the atypical group, 11% in the typical group and 60% in the atypical group Patients were mistaken first diagnosis, missed diagnosis. That atypical patients with the incidence of the elderly, late treatment, easy to delay diagnosis and treatment, high mortality. Prompt clinical should pay attention to atypical episodes of AMI.