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目的对老年不典型心肌梗塞的临床治疗与预后进行分析。方法选取2011年3月~2015年3月我科接收的老年不典型心肌梗塞患者50例为对象,所有患者均给予心电图与心肌酶检测以及抗冠、抗凝等对症治疗,对患者临床表现与治疗效果进行综合性分析。结果 50例老年不典型心肌梗塞患者中,27例患者为无痛型,其中有呼吸道症状患者18例,脑卒中发作患者9例;23例患者为有异位疼痛型,4例患者表现出牙痛问题,5例患者表现出颈肩部疼痛问题,5例患者表现出左上肢疼痛问题,9例患者表现出上腹痛和恶心呕吐问题。50例患者最终治愈30例,好转14例,治疗有效率达88%。结论老年不典型心肌梗死可不表现出典型症状,异位疼痛表现不明显,注意检查患者心电图及心肌酶谱及时确诊,熟悉患者各种症状并给予患者合理治疗,对老年不典型心肌梗塞预后有重要意义。
Objective To analyze the clinical treatment and prognosis of elderly patients with atypical myocardial infarction. Methods From March 2011 to March 2015, 50 cases of elderly patients with atypical myocardial infarction received from our department were enrolled. All patients were given ECG and myocardial enzyme test and anti-coronary and anticoagulant symptomatic treatment. The clinical manifestations, Therapeutic effect of a comprehensive analysis. Results Of 50 elderly patients with atypical myocardial infarction, 27 were painless, including 18 with respiratory symptoms and 9 with stroke; 23 with ectopic pain and 4 with toothache Five patients had neck and shoulder pain problems, five had left upper limb pain problems, and nine had upper abdominal pain and nausea and vomiting problems. 50 patients were eventually cured in 30 cases, improved in 14 cases, the effective rate of 88%. Conclusion Elderly patients with atypical myocardial infarction may not show typical symptoms, ectopic pain performance is not obvious, pay attention to check the ECG and myocardial enzymes in patients diagnosed in time, familiar with the patient’s symptoms and give reasonable treatment of patients, the elderly with atypical myocardial infarction prognosis is important significance.