健康之路
健康之路
건강지로
HEALTH
2014年
6期
33-33
,共1页
急性心肌梗死%胸腔积液%诊断%临床分析
急性心肌梗死%胸腔積液%診斷%臨床分析
급성심기경사%흉강적액%진단%림상분석
Acute myocardial infarction%Pleural ef usion%Diagnosis%Clinical analysis
目的:探讨急性心肌梗死(AMI)伴胸腔积液的诊断与治疗,研究防止误诊漏诊的方法.方法:回顾性分析2008年1月~2014年1月我院诊治的急性心肌梗死(AMI)并发胸腔和/或心包腔积液52例患者的临床资料,AMI 伴胸腔积液的发生、诊治及预后进行分析.结果:本组中25例经颅脑 CT 确诊,18例经神经系统和脑积液检验确诊.9例患者不同程度地误诊或延迟诊断,其中5例患者以胸腔积液收住呼吸科治疗.结论:AMI 患者常同时合并多种疾病,易致误诊或延迟诊断;心电图检查仍是 AMI 诊断的首选方法.
目的:探討急性心肌梗死(AMI)伴胸腔積液的診斷與治療,研究防止誤診漏診的方法.方法:迴顧性分析2008年1月~2014年1月我院診治的急性心肌梗死(AMI)併髮胸腔和/或心包腔積液52例患者的臨床資料,AMI 伴胸腔積液的髮生、診治及預後進行分析.結果:本組中25例經顱腦 CT 確診,18例經神經繫統和腦積液檢驗確診.9例患者不同程度地誤診或延遲診斷,其中5例患者以胸腔積液收住呼吸科治療.結論:AMI 患者常同時閤併多種疾病,易緻誤診或延遲診斷;心電圖檢查仍是 AMI 診斷的首選方法.
목적:탐토급성심기경사(AMI)반흉강적액적진단여치료,연구방지오진루진적방법.방법:회고성분석2008년1월~2014년1월아원진치적급성심기경사(AMI)병발흉강화/혹심포강적액52례환자적림상자료,AMI 반흉강적액적발생、진치급예후진행분석.결과:본조중25례경로뇌 CT 학진,18례경신경계통화뇌적액검험학진.9례환자불동정도지오진혹연지진단,기중5례환자이흉강적액수주호흡과치료.결론:AMI 환자상동시합병다충질병,역치오진혹연지진단;심전도검사잉시 AMI 진단적수선방법.
Objective:To study the acute myocardial infarction (AMI)in diagnosis and treatment of pleural ef usion,research methods to prevent misdiagnosis.Methods:Retrospective analysis of 2008 Jan-uary to 2014 January in our hospital for diagnosis and treatment of acute myocardial infarction (AMI)clinical data of patients with pleural or pericardial ef usion in 52 cases,occurrence,treatment and prog-nosis of AMI with pleural ef usion were analyzed.Result:In this group,25 cases by CT,18 cases of nervous system and brain ef usion examination confirmed.Conclusion:At the same time with a variety of diseases is common in patients with AMI,easy to misdiagnosis or delay diagnosis.Ecg examination is stil the preferred methods for the diagnosis of AMI.