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目的探讨不典型急性心肌梗死临床诊治措施。方法回顾分析77例患者的临床资料。结论医务人员应详细了解病史,密切观察QRS、ST-T动态变化,不可凭借一次心电图无特征性而否定AMI的可能;行心肌酶谱、肌钙蛋白等检测,即使症状不典型,根据心电图变化及酶谱也可诊断;必要时做18导联ECG和/或反复做ECG及心肌坏死标记物等检查明确诊断;提高患者及家属对不典型急性心肌梗死的认识,以早发现和早治疗,改善预后。
Objective To investigate the clinical diagnosis and treatment of atypical acute myocardial infarction. Methods The clinical data of 77 patients were retrospectively analyzed. Conclusion Medical staff should understand the medical history in detail and closely observe the dynamic changes of QRS and ST-T. It is not possible to negate the possibility of AMI by virtue of the primary electrocardiogram without characteristic. Even if the symptoms are not typical, And zymogram can also be diagnosed; if necessary, do 18-lead ECG and / or repeated ECG and myocardial necrosis markers and other tests to confirm the diagnosis; patients and their families to improve awareness of atypical acute myocardial infarction in order to early detection and early treatment, Improve the prognosis.