以消化道症状为首发的心肌梗死20例临床分析  

20 Patients With Gastrointestinal Symptoms as the First Clinical Analysis of Myocardial Infarction

作　　者：孙奇[1] 王芳[1] 王术[1] 

机构地区：[1]大连市友谊医院急诊科,116000

出　　处：《中国继续医学教育》2015年第2期54-54,共1页China Continuing Medical Education

摘　　要：目的总结消化道症状为首发表现的急性心肌梗死的诊治体会。方法对20例以消化道为主要表现的急性心肌梗死患者的临床资料进行分析。结果 ST段抬高型急性心肌梗死17例,非ST段抬高型急性心肌梗死3例。结论对于以消化道症状为首发,经对症处理不能缓解的,应想到急性心肌梗死,详细询问病史,开阔诊断思路,监测生命体征、心电图动态演变过程、心肌酶谱的变化,有助于心肌梗死的诊治。Objective Conclusion the digestive tract symptoms are starting performance of the experience of diagnosis and treatment of acute myocardial infarction. Methods 20 cases of digestive tract as the main performance of the clinical data of patients with acute myocardial infarction were analyzed. Results 17 cases of st-elevation acute myocardial infarction, non st-elevation acute myocardial infarction in 3 patients. Conclusion For gastrointestinal symptoms as the first, symptomatic treatment is necessary, relate to acute myocardial infarction. Monitoring vital signs, Electrocar diagram dynamic evolution process, the changes of myocardial enzyme spectrum, help to the diagnosis and treatment of myocardial infarction.

关 键 词：急性心肌梗死 消化道症状 诊断 

分 类 号：R441[医药卫生—诊断学]