不典型急性心肌梗死的早期诊断  

Early diagnosis of atypical acute myocardial infarction

作　　者：丁大胜 王佩勋 张成立 杨庆昆 

机构地区：[1]新沂市人民医院心内科,江苏新沂221400

出　　处：《现代医药卫生》2010年第15期2286-2287,共2页Journal of Modern Medicine & Health

摘　　要：目的:研究不典型急性心肌梗死(AMI)的临床表现,提高早期诊断率和改善AMI的预后。方法:对8年间215例AMI患者中的68例不典型AMI患者的临床资料进行回顾分析。结果:临床表现不典型的AMI占31.6%,包括无痛型、休克型、胃肠型、脑症状型、颈肩背症状型、疼痛部位不典型、心脏骤停型等。结论:不典型AMI的漏诊或误诊常常影响它的治疗,提高对临床表现不典型的认识,以期对其早期诊断,从而改善AMI的预后。Objective：To study the clinical features of atypical acute myocardial infarction （AMI） for raising the diagnostic accordance rate at the early-period and improving the prognosis of AMI. Methods：68 cases of AMI with atypical clinical features were reviewed during the past 8 years in 215 cases of AMI. Results：The cases of AMI with atypical clinical features accounted for 31.6% ,ineluding painless type, shock type, gastric type ,cerebral symptom type, neck and shoulder symptom type, atypical type of pain sections, and cardiac arrest type. Conclusion：Missed diagnosis or misdiagnosis of AMI with atypical elinical features frequently affects the treatment. Raising the knowledge of AMI with atypical clinical features may obtain the early diagnosis and proper treatment and thus improve the prognosis of AMI.

关 键 词：不典型急性心肌梗死 早期诊断 

分 类 号：R5[医药卫生—内科学]