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近年来由于冠心病早期诊断和治疗的进展。以及对易患因素的重视,国外报道无Q波心肌梗塞发病率有明显的上升趋势。但实际工作中,由于对无Q波心肌梗塞的病理特点认识不足以及受血清酶学系列化验的限制,临床有明显的漏诊现象。国内报道甚少。此文总结了我院自1988年1月至1990年1月底共收治急性心肌梗塞109例,依照急性期心电图有无病理性Q波的出现,分为两组,进行临床分析,现将有关临床资料总结如下: 对象和方法一、病例选择:有Q波急性心肌梗塞共84例,占77％,其中男68例,女16例;平均年龄60.9岁
In recent years due to the early diagnosis and treatment of coronary heart disease progress. As well as the emphasis on risk factors, foreign reports no incidence of Q wave myocardial infarction significantly increased. However, in actual work, due to the lack of understanding of the pathological features of Q-wave myocardial infarction and the limitations of laboratory tests of serum enzymology, there is a clear clinical misdiagnosis. Domestic reports rarely. This article summarizes our hospital from January 1988 to January 1990 a total of 109 cases of acute myocardial infarction, in accordance with acute ECG whether the occurrence of pathological Q wave, divided into two groups, for clinical analysis, the relevant clinical The data are summarized as follows: Subjects and methods First, the patient selection: a Q wave of acute myocardial infarction in 84 cases, accounting for 77%, 68 males and 16 females; mean age 60.9 years