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目的探讨对非典型急性心肌梗死患者的早期诊断及急诊处理的临床效果。方法选取2007年8月～2011年6月于某院治疗的非典型AMI患者46例,对患者临床进行回顾性分析。结果 46例患者初诊误诊为急性心功能衰竭1例,心律失常1例,急性胃炎2例,急性肠炎1例,急性胆囊炎2例,休克1例;经治疗,46例患者痊愈出院17例(36.96%),好转出院26例(56.52%),死亡3例(6.52%),临床治疗有效43例(93.48%)。结论及时准确的诊断和急诊处理可以有效实现对梗死部位心肌细胞的再灌注,缩小心肌缺血面积,减少心肌损伤,减少各种并发症的发生和患者死亡率,对非典型AMI患者的临床预后具有重要作用。
Objective To investigate the clinical effects of early diagnosis and emergency treatment in atypical acute myocardial infarction patients. Methods Forty-six patients with atypical AMI who were treated in a hospital from August 2007 to June 2011 were retrospectively analyzed. Results A total of 46 patients were misdiagnosed as acute heart failure in 1 case, 1 case of arrhythmia, 2 cases of acute gastritis, 1 case of acute enteritis, 2 cases of acute cholecystitis and 1 case of shock. After treatment, 46 cases were cured and discharged 17 cases 36.96%), 26 patients were discharged (56.52%), 3 died (6.52%) and 43 (93.48%) were clinically effective. Conclusion Timely and accurate diagnosis and emergency treatment can effectively reperfusion myocardial infarction, reduce myocardial ischemia area, reduce myocardial injury, reduce the incidence of complications and patient mortality, the clinical prognosis of patients with atypical AMI Has an important role.