论文部分内容阅读
目的:探讨老年以腹痛为主要症状的急性心肌梗死(AMI)的临床特征,以提高诊断及抢救成功率。方法:回顾分析我院2013年1月至2014年12月共收治的以腹痛为主要症状的AMI老年患者9例临床特征。结果:以腹痛为首发表现的AMI,以老年男性为主,发病年龄以60岁以上多见,梗死部位以下壁或下壁合并右室或/和后壁多见,合并心管危险因素者多见,并发症多,误诊率高,死亡率高。结论:临床上遇有60岁以上原因不明的急性上腹痛,应警惕AMI的可能性,应详细询问病史,全面体检,及时行12导联心电图和心肌酶学检查。
Objective: To investigate the clinical features of elderly patients with acute myocardial infarction (AMI) with abdominal pain as the main symptom to improve the success rate of diagnosis and rescue. Methods: A retrospective analysis of our hospital from January 2013 to December 2014 were treated with abdominal pain as the main symptom? My clinical features of 9 elderly patients with AMI. Results: The first manifestation of AMI was abdominal pain, mainly in elderly men. The age of onset was more than 60 years old. The lower or lower wall of the infarct was more common in the right ventricular and / or posterior wall. See, complications, misdiagnosis rate, high mortality. CONCLUSIONS: In case of acute upper abdominal pain of unknown cause over 60 years old, we should be alert to the possibility of AMI. We should ask history, comprehensive physical examination and 12-lead electrocardiogram and myocardial enzymology in time.