论文部分内容阅读
目的探讨不典型心肌梗死的临床特征及诊治措施。方法分析2005年8月至2009年7月收治的58例患者的临床资料。结果误诊为急腹症39例,误诊为脑血管疾病12例,误诊为肺心病7例。结论对上腹痛患者经解痉、止痛无效者,检查ECG并严密观察患者血压、心率、心律变化,临床症状加重者要动态观察患者的心电图及心肌酶变化;对并发疾病经治疗无效的,一定要考虑AMI;加强对AMI症状不典型者的认识,全面、细致地分析病情,及时常规作心电图检查;仔细了解病史和密切观察QRS、ST-T动态变化;熟练心电图操作及识别图形;检查一定要仔细,不要被疾病的表面所迷惑。
Objective To investigate the clinical features and diagnosis and treatment of atypical myocardial infarction. Methods Clinical data of 58 patients admitted from August 2005 to July 2009 were analyzed. The results were misdiagnosed as acute abdomen in 39 cases, misdiagnosed as cerebrovascular disease in 12 cases, misdiagnosed as pulmonary heart disease in 7 cases. Conclusion Patients with upper abdominal pain through antispasmodic, analgesic ineffective, check the ECG and closely observe the patient’s blood pressure, heart rate, heart rate changes, the clinical symptoms of patients with dynamic ECG and myocardial enzymes should be dynamically observed; for concurrent disease after treatment ineffective, must To consider the AMI; to strengthen awareness of atypical symptoms of AMI, comprehensive and detailed analysis of the disease, and routine ECG; careful history and close observation of QRS, ST-T dynamic changes; skilled ECG operation and identify the graphics; check certain Be careful not to be fooled by the surface of the disease.