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目的:探讨青年急性心肌梗死(急性心梗)的特点。方法:对我院近10 a收治23例青年急性心梗的临床资料作回顾性分析。结果:有明确诱因18例(78.3%),以持续性心前区或胸骨后剧痛发病者13例(56.5%),还有以上腹痛、下肢痛发病的10例,心电图证实梗死部位是下壁6例,前壁4例,广泛前壁3例,下壁+正后壁2例,前壁+下壁2例,高侧壁2例,前间壁4例,初诊时误诊10例(43.5%)。结论:青年人急性心梗不少见,有其独特的发病特点,为早期确诊应及时选做心电图、血清酶检查。
Objective: To investigate the characteristics of young acute myocardial infarction (acute myocardial infarction). Methods: The clinical data of 23 young patients with acute myocardial infarction treated in our hospital for the past 10 years were retrospectively analyzed. Results: There were 18 cases (78.3%) with definite inducement, 13 cases (56.5%) with persistent anterior or sternal pain and 10 cases with abdominal pain and lower extremity pain. The infarction site was confirmed by electrocardiogram 6 cases of anterior wall, 4 cases of anterior wall, 3 cases of extensive anterior wall, 2 cases of inferior wall + posterior wall, 2 anterior wall + inferior wall, 2 cases of high lateral wall, 4 anterior wall and 10 cases misdiagnosed in initial diagnosis (43.5 %). Conclusion: Many young people with acute myocardial infarction see, has its unique characteristics of the disease, early diagnosis should be promptly selected ECG, serum enzyme test.