首发症状对于老年无痛性心肌梗死的诊断价值研究  

Study on the diagnostic value of first symptom in elderly patients with painless myocardial infarction

作　　者：张景[1] Zhang Jing(Department of Cardiology,the People's Hospital of Yuan'an County,Hubei Yichang 444200)

机构地区：[1]远安县人民医院心内科,湖北宜昌444200

出　　处：《中国社区医师》2021年第7期99-100,共2页Chinese Community Doctors

摘　　要：目的:分析首发症状对于老年无痛性心肌梗死的诊断价值与效果。方法:2018年2月-2020年9月收治老年无痛性心肌梗死患者78例,分析患者临床资料。结果:78例患者误诊率为34.62%,成功诊断率为65.38%;不同性别、冠心病病史老年患者无痛性心肌梗死误诊比较,差异均无统计学意义(P>0.05);不同糖尿病史、脑梗死病史、高血压史老年患者无痛性心肌梗死误诊比较,差异有统计学意义(P<0.05)。结论:老年无痛性心肌梗死首发症状有着多样性和复杂性,因此在诊断时,会出现误诊情况;所以临床医生在对患者进行诊断过程中,应当考虑患者既往史,并结合患者主诉,然后对其实施心肌酶谱检查和心电图检查,这样可能提高诊断准确率。Objective:To analyze the diagnostic value and effect of first symptom for elderly patients with painless myocardial infarction.Methods:From February 2018 to September 2020,78 elderly patients with painless myocardial infarction were selected.We analyzed the clinical data of the patients.Results:In 78 cases,the misdiagnosis rate was 34.62%,and the successful diagnosis rate was 65.38%.There was no significant difference in the misdiagnosis of painless myocardial infarction among the elderly patients with different gender and history of coronary heart disease(P<0.05);there was significant difference in the misdiagnosis of painless myocardial infarction among the elderly patients with different history of diabetes,cerebral infarction and hypertension(P<0.05).Conclusion:The first symptoms of elderly patients with painless myocardial infarction are diverse and complex,therefore,in the diagnosis,there will be misdiagnosis.Therefore,clinicians in the process of diagnosis of patients,should consider the patient's past history,combined with the patient's chief complaint,and then implement myocardial enzyme spectrum examination and ECG examination,which can greatly improve the diagnostic accuracy.

关 键 词：首发症状 老年 无痛性心肌梗死 诊断价值 

分 类 号：R542.22[医药卫生—心血管疾病]