不典型心肌梗塞的特点与认识  

Atypical myocardial infarction characteristic with knows

作　　者：刘丽 于立群 

机构地区：[1]黑龙江省东方红林业局人民医院,虎林158402

出　　处：《按摩与康复医学》2010年第3期60-60,共1页Chinese Manipulation and Rehabilitation Medicine

摘　　要：心肌梗塞是心肌缺血性坏死，为在冠状动脉病变的基础上，发生冠状动脉血供急剧减少或中断，使相应的心肌严重而持久地急性缺血导致心肌坏死。临床表现为持久的胸骨后剧烈疼痛，低热，白细胞计数和血清心肌坏死标记物增高以及心电图进行性改变。目前心肌梗塞的早期诊断主要根据典型的临床表现，病史、体征、心电图及心肌酶学检测。然而在某些特殊生理条件下，如老年人、青年人，婴幼儿、妊娠、糖尿病、可卡因滥用等情况下发生的心肌梗塞具有特殊性，应引起临床医师的认识及重视。Myocardial infarction is cardiac muscle anemic necrosis,for at in the coronary artery pathological change foundation,has the coronary artery blood for to reduce or the interrupt suddenly, causes the corresponding cardiac muscle seriously and acute lacks the blood to cause the cardiac muscle necrosis lastingly. The clinical manifestation for the lasting retrosternal fierce ache, the low heat,the white blood cell counting and the blood serum cardiac muscle necrosis tracer markup as well as the electrocardiogram carries on the change. At present myocardial infarction early diagnosis main basis model clinical manifestation, medical history, symptom, electrocardiogram and cardiac muscle zymology examination. However under cer- tain special physiological condition,like the senior citizen,the young people,the babies and infants, the pregnancy,diabetes, the cocaine abuses myocardial infarction which and so on in the situations occurs to have the particularity,should cause clinician＇s understanding and take.

关 键 词：不典型心肌梗塞 特点 认识 

分 类 号：R541[医药卫生—心血管疾病]