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目的掌握首发症状不典型的急性心肌梗死(AMI)临床特点。方法回顾性分析2005年4月至2009年4月4年间收治的82例不典型AMI患者,对其临床表现进行分析总结。结果9例从心律失常为主要表现;急性左心衰竭为自发症状18例;临床应及早诊断及治疗。结论不典型心肌梗死多数以休克、心力衰竭、心律失常及上腹痛、咽痛为主要表现应认真进行综合分析和判断,进行常规心电图及心肌酶检查,提高诊断准确性并采取积极有效的对策,挽救患者的生命。
Objective To grasp the clinical features of atypical acute myocardial infarction (AMI). Methods A retrospective analysis of 82 cases of atypical AMI admitted to our hospital from April 2005 to April 2009 was performed and the clinical manifestations were analyzed and summarized. Results Nine cases showed arrhythmia as the main manifestation. Acute left heart failure was spontaneous and 18 cases were diagnosed as early as possible. Conclusions Most of atypical myocardial infarction should be carefully analyzed and judged by shock, heart failure, arrhythmia, upper abdominal pain and sore throat. Regular electrocardiogram and myocardial enzyme test should be performed to improve diagnostic accuracy and take active and effective countermeasures. Save the lives of patients.