急性心肌梗塞是老年人的多发病,由于老年人的生理、心理特点,极易发生其他合并症而危及生命,因此老年人急性心梗的诊治不容忽视。1 早期诊断 能够及时发现心肌梗塞先兆症状是抢救成功的关键所在。急性心肌梗塞的典型症状是压榨性胸骨后疼痛,并向肩背部放射,伴有胸闷、气短、出冷汗等,但很多老年人由于机体反应能力降低,上述症状表现甚少,还可表现心脏以外的症状如牙痛、胃痛、左上肢麻木、神疲乏力、恶心呕吐等,甚至完全没有症状,只是突然昏厥,在做心肌酶谱测定和心电图检查时才被发 Acute myocardial infarction is the frequent occurrence of the elderly, because of the physiological and psychological characteristics of the elderly, prone to other complications and life-threatening, so the diagnosis and treatment of acute myocardial infarction in the elderly can not be ignored. An early diagnosis of myocardial infarction in time to detect aura symptoms is the key to the success of the rescue. Acute myocardial infarction is a typical symptom of chest pain after the press and radiation to the back of the shoulder, accompanied by chest tightness, shortness of breath, a cold sweat, but many older people due to reduced body response, the performance of these symptoms very little, but also the performance of the heart Symptoms such as toothache, stomach pain, left upper limb numbness, Shenpi fatigue, nausea and vomiting, or even no symptoms at all, but suddenly fainting, myocardial enzymes do in the determination and ECG examination was made