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目的:为了更深入的探讨急性心肌梗死的临床诊疗办法。方法:选取2010年到2012年在我院进行治疗的患有急性心肌梗死的病患100例,对这些病患的详细资料进行临床分析。结果:确诊病情后为病患提供吸氧、扩张冠动脉、休息、营养心肌、溶栓、抗凝、抗血小板聚集等综合治疗,其中有84例病患的病情得到缓解,死亡16例,在这些死亡的病患中,有8例病患因心源休克死亡,有5例因心律失常死亡,有3例因心脏衰竭死亡。结论:对于不明原因的腹痛,尤其是有冠心病史的病患来说,更要提高警惕,预防出现进行心肌梗死,注意观察血压、有无出现胸痛、胸闷等不良情况,结合病患的临床表现特征,以及心电图的变化做出综合评定,如有需要可以对心肌酶谱进行检查,防止出现误诊状况。
Objective: In order to further explore the clinical diagnosis and treatment of acute myocardial infarction. Methods: A total of 100 patients with acute myocardial infarction who were treated in our hospital from 2010 to 2012 were selected, and the clinical data of these patients were analyzed. Results: The patients were diagnosed with oxygen, dilation of the coronary artery, rest, nutritional myocardium, thrombolysis, anticoagulation, anti-platelet aggregation and other comprehensive treatment, of which 84 patients were relieved, 16 patients died in Of these patients who died, 8 died of cardiogenic shock, 5 died of cardiac arrhythmias and 3 died of heart failure. Conclusion: For unexplained abdominal pain, especially in patients with a history of coronary heart disease, but also to be vigilant, to prevent myocardial infarction, pay attention to blood pressure, with or without chest pain, chest tightness and other adverse conditions, combined with the patient’s clinical Performance characteristics, and changes in ECG to make a comprehensive assessment, if necessary, myocardial enzymes can be checked to prevent misdiagnosis.