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典型的急性心肌梗死(以下简称心梗)诊断并不困难,但起病不典型者,开始可能不认识,对病重者稍许延误,即可失去抢救机会。 注意以消化道症状为主的急性心梗 某年底,我在急诊室听班。值班者是一位新毕业的青年医生。晚9时许来了一位43岁的军人干部,主诉是上腹痛、恶心呕吐,吐出物为胃内容,患者晚饭喝了一些酒,当时检查心律血压均正常,上腹剑突下轻压痛。过去身体健康,无心前区疼痛史,初诊为“急性胃炎”。当时曾考虑收入消化病室,因无床暂在观察室留观。
Typical acute myocardial infarction (hereinafter referred to as myocardial infarction) diagnosis is not difficult, but atypical cases of atypia, may not recognize the beginning of a serious delay for a serious illness, you can lose the chance of salvage. Attention to gastrointestinal symptoms of acute myocardial infarction at the end of a year, I am listening to the emergency room. The attendant is a newly graduated young doctor. At 9 o’clock in the evening a 43-year-old soldier cadre complained of abdominal pain, nausea and vomiting, vomiting as gastric content, and the patient drank some wine during dinner. At that time, examination of the heart rate blood pressure was normal and the upper abdomen was gently tender. In the past, good health, no history of pain in the anterior region, first diagnosed as “acute gastritis.” Had considered the income of digestive ward, because no bed temporarily in the observation room.