1例无痛性心肌梗死患者的临床诊治分析  

Analysis of clinical diagnosis and treatment of a patient with painless myocardial infarction

作　　者：李小妮[1] 乔香瑞 吴岳[2] LI Xiaoni;QIAO Xiangrui;WU Yue(Cardiovascular Medicine Department,Hancheng People's Hospital,Hancheng 715400;Cardiovascular Medicine Department,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]韩城市人民医院心血管内科,陕西韩城715400 [2]西安交通大学第一附属医院心血管内科,陕西西安710061

出　　处：《临床医学研究与实践》2021年第17期6-8,共3页Clinical Research and Practice

摘　　要：急性心肌梗死是临床上常见的一种疾病,发病率高,预后差,大部分具有典型而明显的症状,表现为心前区、胸骨后疼痛同时伴有胸闷、心慌、心悸等。但是在临床诊疗过程中发现一部分老年心肌梗死患者无典型心绞痛症状,而以晕厥、急性左心衰、休克、异位疼痛等为首发症状,这部分患者因为临床症状不典型导致其诊断难度增加,从而耽误了就诊时间,甚至出现漏诊、误诊,失去最佳的治疗时机。本文报道了1例以“一过性意识丧失”为首发症状的无痛性心肌梗死患者的诊治过程,并分析了无痛性心肌梗死的临床表现及其诊治特点,旨在提高临床对该病的认识。Acute myocardial infarction is a common clinical disease with high morbidity and poor prognosis,and most of them have typical and obvious symptoms,such as precordial and posterior sternal pain accompanied by chest tightness,flustered,palpitations and so on.However,in the clinical diagnosis and treatment process,it was found that some elderly patients with myocardial infarctions had no typical angina symptoms,and syncope,acute left heart failure,shock,and ectopic pain were the first symptoms.Because of the atypical clinical symptoms,the diagnosis of these patients is more difficult,which delays the diagnosis time,even led to missed diagnosis,misdiagnosis,and lost the best opportunity for treatment.This article reports the diagnosis and treatment process of a patient with painless myocardial infarction with"transient loss of consciousness"as the first symptom,and analyzes the clinical manifestations and characteristics of the diagnosis and treatment of painless myocardial infarction,in order to improve the clinical understanding of the disease.

关 键 词：无痛性心肌梗死 一过性意识丧失 临床表现 

分 类 号：R58[医药卫生—内分泌]