非典型临床症状急性心肌梗死患者的早期诊断及对策
急性心肌梗死;临床症状;诊断,,],急性心肌梗死;临床症状;诊断,1临床资料,2讨论,参考文献:
[摘 要] 急性心肌梗死临床上并不少见,因其病情凶险、病死率高,长期以来一直是急诊内科医师在急诊工作中重视的问题。及时、正确的诊断并采取有效的治疗对降低死亡率,改善预后至关重要。典型心肌梗死发作者表现为胸骨后压榨性或紧缩性疼痛,结合心电图等检查诊断并不困难,但非典型心绞痛患者延误诊断亦非罕见。一般在急性心肌梗死患者中非典型心绞痛型达1/6~1/3,而在老年急性心肌梗死病例中,非典型心绞痛型的发病率可为30.2%,无症状型更是高达42%,而典型心绞痛型仅占20%。说明在老年人急性心肌患者中,非典型心绞痛型是一较明显的特点之一。[关键词] 急性心肌梗死;临床症状;诊断
In Early Days Diagnosis and Counterplan of Nontypical Model Clinical Symptom AMI Patient
WANG Weicheng, WANG Yong, DAI Binxin
(1.Zhanshui County People's Hospital, Zhanshui, Shaanxi 711400, China;
2.Zhanshui County TOM Hospital, Zhanshui, Shaanxi 711400, China;
3.Xi'an First People's Hospital, Xi'an, Shaanxi 710002, China)
Abstract:The acute cardiac arrest on clinical is not rare,because its condition bad risk ......
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