【摘要】典型急性心肌梗死较易诊断,而非典型急性心肌梗死早期诊断比较困难。要着重从以下几方面注意,以期做到早期明确诊断。①中年以上男性,有肥胖、高血压、高脂血症,出现与饮食关系不大的上腹痛、恶心、呕吐等消化系统症状。②有慢性肺部疾病,突然加重的呼吸困难,咳嗽、胸闷等症状。③有糖尿病史或多发性大动脉炎,出现循环衰竭或意识障碍。④有脑血管病、冠心病、突然出现低血压或休克时。⑤中老年出现牙痛、面痛、颈痛者。对以上情况要及时做心电图和心肌酶学检查。

    【关键词】非典型心梗;早期诊断

    Early diagnosis of non-typical acute miocardial infarction

    HU Yi-rong

    【Abstract】It is easier to diagnose acute myocardial infarction,but for non-typical one,it is rather difficult.The following should be paid more attention to clarify the disease in early stage.①Middle aged men suffered with overfat,high blood pressure,high blood fat,show stom achache,nausea,vomit and other symptoms of digest system while appetite is normal.②Chronic lung diseases become serious in a shortperiod and patients feel difficult to breath and chest oppressed,and cough heavily.③Patients suffered diabetes or aorto arteritis show circulate failure and consciousness disabled.④Pailents suffered cerebrovascular disease,coronary heart disease,show lower blood pressure or shock in a short time.⑤Middle aged and aged people,show toothache,check ache or neck ache.For the above,cardiogram and cardiac muscle enzyme should be tested. ......