健康之路
健康之路
건강지로
HEALTH
2013年
12期
7-7
,共1页
不典型%急性%心肌梗死%诊断
不典型%急性%心肌梗死%診斷
불전형%급성%심기경사%진단
Atypical%Acute%Myocardial infarction%Diagnosis
目的：探讨首发症状不典型急性心肌梗死的临床特点,为临床诊断提供依据.方法：对2008年3月至2010年7月期间于我院就诊的不典型症状急性心梗患者46例为研究对象,对患者临床症状进行归纳,观察心电图的变化.结果：46例患者治疗后好转43例,死亡6例,存活率87．0％.死于心力衰竭4例,心脏骤停2例.结论：临床上不典型 AMI 相当常见,尤其是有合并症的患者,AMI 症状极有可能被掩盖,应当结合临床症状、心电图检查以及心肌酶监测结果进行综合分析和判断,提高诊断的准确率.
目的：探討首髮癥狀不典型急性心肌梗死的臨床特點,為臨床診斷提供依據.方法：對2008年3月至2010年7月期間于我院就診的不典型癥狀急性心梗患者46例為研究對象,對患者臨床癥狀進行歸納,觀察心電圖的變化.結果：46例患者治療後好轉43例,死亡6例,存活率87．0％.死于心力衰竭4例,心髒驟停2例.結論：臨床上不典型 AMI 相噹常見,尤其是有閤併癥的患者,AMI 癥狀極有可能被掩蓋,應噹結閤臨床癥狀、心電圖檢查以及心肌酶鑑測結果進行綜閤分析和判斷,提高診斷的準確率.
목적：탐토수발증상불전형급성심기경사적림상특점,위림상진단제공의거.방법：대2008년3월지2010년7월기간우아원취진적불전형증상급성심경환자46례위연구대상,대환자림상증상진행귀납,관찰심전도적변화.결과：46례환자치료후호전43례,사망6례,존활솔87．0％.사우심력쇠갈4례,심장취정2례.결론：림상상불전형 AMI 상당상견,우기시유합병증적환자,AMI 증상겁유가능피엄개,응당결합림상증상、심전도검사이급심기매감측결과진행종합분석화판단,제고진단적준학솔.
Objective:To investigate the first symptoms of acute myocardial infarction with atypical clinical features,provide the basis for clinical diagnosis.Methods:For March 2008 to July 2010 period in our hospital are not typical symptoms of 46 patients with acute myocardial infarction as the research object,to summarize the clinical symptoms observed ECG changes.Result:46 patients improved after treatment in 43 cases,6 deaths,the survival rate 87.0%.Died of heart failure in 4 cases,2 cases of carG diac arrest.Conclusion:Clinical y atypical AMI quite common,especial y in patients with comorbidities,AMI symptoms is likely to be masked,it should be combined with clinical symptoms,ECG and cardiac enzyme monitoring results were analyzed and judgment,to improve diagnostic accuracy.
