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在社区急救中,经常遇到急性心肌梗死病例,典型的病例通过临床表现及心电图改变在社区即可做出诊断,但对于不典型急性心肌梗死在社区诊断较困难,需认真思考判断加以识别。现将在社区急救中所遇到的不典型急性心肌梗死21例报告如下。1临床资料2003年9月～2009年6月在社区首诊急救
In community first aid, acute myocardial infarction is often encountered. Typical cases can be diagnosed in the community through clinical manifestations and ECG changes. However, it is difficult to diagnose atypical acute myocardial infarction in the community and needs careful consideration and judgment. 21 cases of atypical acute myocardial infarction now encountered in community first aid are reported below. 1 clinical data September 2003 ~ June 2009 first visit in the community first aid