无胸痛急性冠脉综合征55例临床分析  

Clinical analysis of 55 cases acute coronary syndrome without thoracalgia

作　　者：李德云[1] 高赛英[1] 曹学功[1] 张爱萍[1] 韩永生[1] 

机构地区：[1]安徽医科大学附属省立医院安徽省立医院急救中心,合肥230001

出　　处：《中国临床保健杂志》2007年第3期267-269,共3页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨无胸痛急性冠脉综合征的临床特点。方法回顾性分析近3年收治的无胸痛急性冠脉综合征患者55例,以有胸痛病例为对照,总结临床特征。结果与胸痛组比较,无胸痛组STEM I比例偏高,无胸痛组WBC平均值偏低,肌钙蛋白增高例数偏多,差异均有统计学意义。55例无胸痛急性冠脉综合征患中死亡1例,3个月内再入院2例。无胸痛急性冠脉综合征中女性患者、高龄患者比例高;临床表现以心律失常、上腹痛、呼吸困难最多见;合并糖尿病、高血压的比例高于有胸痛ACS患者。结论正确认识无胸痛急性冠脉综合征的临床特点是及时诊断ACS的关键。Objective The purpose of this study was to analyse the clinical feature of acute coronary syndrome（ACS） without chest pain. Methods We retrospectively analyzed 55 ACS cases without chest pain who addressed nearly 3 years, summarized clinical features and compared with ACS with chest pain. Results There were multiterm of clinical feature significant difference between non-chest pain group and chest pain group , P 〈 0. 05. the incidence rate of STEMI proportion in Non-chest pain group ,was higher than that in chest pain group. The WBC mean value and troponin heighten proportion of non- chest pain was on the low side ,the difference had significance. 1 case died; Readmission after 3 months was 2 cases. Non-chest pain ACS had high proportion of females and old-aged sufferers ;The clinical feature was arrhythmia , epigastralgia , and dyspnea ; The proportion complicated with diabetes , hypertension was higher than that in chest pain ACS sufferer. Conclusion Congnition clinical feature of non-chest pain ACS accuracily is the key to diagnosis ACS.

关 键 词：冠状动脉疾病 疼痛 肌钙蛋白 疾病特征 回顾性研究 

分 类 号：R541.4[医药卫生—心血管疾病]