急性心肌梗死216例诊断分析  

Acute myocardial infarction diagnosis analysis

作　　者：曹茂荣[1] 刘卫星[1] 董滨[1] 高永艳[1] 赵凌怡[1] 吴欣欣[1] 

机构地区：[1]武警黑龙江总队医院,黑龙江哈尔滨150076

出　　处：《武警医学院学报》2008年第5期407-408,411,共3页Acta Academiae Medicinae CPAPF

摘　　要：【目的】探讨急性心肌梗死不典型症状及心电图变化,防止误诊误治的发生。【方法】分析我院2003年1月-2007年2月收入院的216例急性心肌梗死(acute myocardial infarction,AMI)患者的临床表现、心电图及心肌坏死标记物的动态变化。【结果】具有典型AMI症状及/或心电图演变的患者占全部患者的90.74%;表现为急性左心衰的占4.17%;以晕厥、低血压就诊的占0.93%;以快速房颤伴意识障碍就诊的占1.85%;以上腹痛、恶心、呕吐症状就诊的占1.85%;以发作性右胸痛为主要症状的占0.46%。这些不典型的AMI患者均为老年人伴有糖尿病、脑血管疾病或发病时出现低血糖者。【结论】重视AMI患者的不典型症状,监测心电图及心肌坏死标志物的动态变化可以避免误诊误治的发生。[Objective] To observe acute myocardial infarction （AMI） untypical symptom and electrocardiogram （ECG） changes. To avoid misdiagnosis and mistherapy. [Methods] To analyse symptom, ECG and myocardium necrotic sign of 216 patients with AMI admitted to our hospital from January 2003 to February 2007. [Results] The number of patients with typical AMI symptom and/or ECG changes is 90.74% of all patients. The number of patients with acute heart failure symptom is 4.17% of all patients. The number of patients with syncope , hypotension is 0.93% of all patients. The number of patients with rapid atrial fibrillation and unconscionness is 1.85 % of all patients. The number of patients with upper abdominal pain is 1.85 % of all patients. The number of patients with right thoracic pain is 0.46% of all patients . These AMI patients with untypical symptom are all elder suffering from diabet mellitus, cerebrovascular diseases or hypoglycemia. [Conclusions] paying attention to untypical symptom of AMI patients and dynamic changes of ECG and myocardium necrotic sign can avoid misdiagnosis and mistherapy.

关 键 词：急性心肌梗死 诊断 误诊 

分 类 号：R542.2[医药卫生—心血管疾病]