胸痛伴ST段抬高的疑似心肌梗死患者的临床分析  

CLINICAL ANALYSIS OF SUSPECTED MYOCARDIAL INFARICTON PATIENTS WITH CHEST PAIN AND ST-SEGMENT ELEVATION

作　　者：钟伟[1] 龚武田[1] 羊富彬[1] 李家富[1] 

机构地区：[1]泸州医学院附属医院心血管内科,四川泸州646000

出　　处：《泸州医学院学报》2010年第5期517-519,共3页Journal of Luzhou Medical College

摘　　要：目的:探讨胸痛伴ST段抬高的疑似心肌梗死患者的临床特征,以减少误诊误治。方法:分析48例胸痛伴ST段抬高的疑似心肌梗死患者临床特点及心电图变化。结果:胸痛伴ST段抬高的疑似心肌梗死患者多见于急性心包炎及病毒性心肌炎、冠状动脉缺血性改变、主动脉夹层等共有10例被误诊为急性心肌梗死。结论:多种疾病可引起胸痛同时伴有ST段抬高,易误诊为急性心肌梗死,临床诊疗中须仔细鉴别。Objective：To study the clinical characteristics of suspected myocardial infarction patients,in or-der to reduce misdiagnosis and mistreatment.Methods：Clinical features and ECG changes were aualyzed in 48 cases of suspected myocardial infarction.Results：These suspected patients were common in acute pericarditis,i-ral myocarditis,coronary ischemic changes,and aortic dissection,altogether 10 cases were misdiagnosed as acute myocardial infarction.Conclusion：Variety of diseases can cause chest pain accompanied by ST-segment eleva-tion,often misdiagnosed as acute myocardial infarction,clinical diagnosis and treatment showld be carefully iden-tified.

关 键 词：疑似心肌梗死 胸痛 ST段抬高 临床分析 

分 类 号：R541.4[医药卫生—心血管疾病]