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目的总结非典型急性心肌梗死(AMI)的临床表现,提高其早期诊断率和改善预后。方法统计近7年来急诊接诊的97例AMI患者的临床资料,对其中表现不典型者23例的临床资料进行回顾性总结分析。结果非典型AMI患者占23.71%,其中无痛型为30.43%、休克型为8.70%、急腹症型为13.04%、颈肩背症状型17.39%、疼痛部位不典型者为17.39%、心脏骤停型为8.70%、脑症状型为4.35%。其中误(漏)诊11例,误(漏)率达47.82%。结论非典型AMI临床并不少见,漏诊和误诊都将影响患者的生存率和生活质量,应引起重视。
Objective To summarize the clinical manifestations of atypical acute myocardial infarction (AMI), improve its early diagnosis rate and improve the prognosis. Methods The clinical data of 97 patients with AMI admitted to emergency department during the past 7 years were collected. The clinical data of 23 patients with atypical cases were retrospectively analyzed. Results Atypical AMI patients accounted for 23.71%, of which painless type was 30.43%, shock type was 8.70%, acute abdomen type was 13.04%, neck and shoulder symptoms were 17.39%, and those with atypical pain were 17.39% Discontinuation was 8.70% and brain symptoms were 4.35%. Among them, 11 cases were mistaken (missed) and the error rate was 47.82%. Conclusion Atypical AMI is not uncommon in clinical practice. Misdiagnosis and misdiagnosis will affect the survival rate and quality of life of patients.