非ST段抬高型心肌梗死诊治体会  

Experience of diagnosis and treatment of non-ST segment elevation myocardial infarction

作　　者：蒋学友[1] 黄永菊 JIANG Xue-you;HUANG Yong-ju(Emergency Department,the Second Affiliated Hospital of Southeast University,Nanjing 210003;the Second Clinical MedicalCollege of Nanjing Medical University,Nanjing 210011,China)

机构地区：[1]东南大学第二附属医院急诊科,南京210003 [2]南京医科大学第二临床医学院,南京210011

出　　处：《临床医学研究与实践》2018年第22期22-24,共3页Clinical Research and Practice

基　　金：南京市医学科技发展资金资助项目(No.QYK11158)

摘　　要：目的分析非ST段抬高型心肌梗死(NSTEMI)的临床特点,提高对NSTEMI的认识水平。方法对35例NSTEMI患者的危险因素、临床表现、心电图(ECG)及冠状动脉造影(CAG)结果进行分析。结果 35例NSTEMI患者中32例有危险因素(91.43%),主要危险因素是高血压25例(71.43%),吸烟17例(48.57%),糖尿病15例(42.86%),高血脂12例(34.29%)。男性吸烟患者比例高于女性患者(P<0.05)。27例(77.14%)患者首发症状为胸痛,6例(17.14%)患者首发症状为胸闷,各有1例(2.86%)患者首发症状为上腹痛和晕厥,其他常见症状包括出汗、呼吸困难、头晕等。35例患者中,29例接受CAG,其中1例无明显冠脉病变,27例接受经皮冠脉介入治疗(PCI)治疗,1例接受冠状动脉旁路移植术(CABG);其余6例给予药物治疗。治疗后1例患者死亡,其余34例患者均于病情稳定后出院。结论 NSTEMI患者临床表现多样且无特异性,因此需要综合分析患者临床特点以便做到早诊断、早治疗。Objective To analyze the clinical features of non-ST segment elevation myocardial infarction （NSTEMI） andimprove the understanding of NSTEMI. Methods The risk factors, clinical manifestation, electrocardiogram （ECG） andcoronary angiography （CAG） of thirty-five cases of patients with NSTEMI were retrospectively analyzed. Results Of the 35cases of patients with NSTEMI, there were 32 cases had risk factors （91.43%）, and the main risk factors for patients were25 cases of hypertension （71.42%）, 17 cases of smoking （48.57%）, 15 cases of diabetes （42.86%） and 12 cases ofhyperlipidemia （34.29%）. The rate of smoking of male patients was higher than that of female patients （P〈0.05）. The firstsymptom of 27 patients （77.14%） was chest pain, of 6 patients （17.14%） was chest tightness, of 1 patient （2.86%） was upperabdominal pain and syncope each. The other common symptoms of patients included sweating, dyspnea, dizziness, etc. Ofthe 35 patients, 29 patients received CAG, 1 case had no obvious coronary lesions, 27 patients underwent percutaneouscoronary intervention （PCI）, and 1 patients underwent coronary artery bypass grafting （CABG）; another 6 patients were givenmedication respectively. One patient died after treatment, and another 34 patients were discharged in stable condition.Conclusion The clinical manifestations of NSTEMI patients are diverse and non -specific, so it is necessary tocomprehensively analyze the clinical characteristics of patients in order to achieve early diagnosis and early treatment.

关 键 词：非ST段抬高型心肌梗死(NSTEMI) 危险因素 心电图(ECG) 冠状动脉造影(CAG) 

分 类 号：R542.22[医药卫生—心血管疾病]