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目的总结非胸痛的急性心肌梗死的临床特点。方法对2008年1月2010年12月48例非胸痛的急性心肌梗死患者出现的首发症状、危险因素等进行分析。结果年龄>65岁30例,<40岁3例,41～64岁15例。首发症状为消化道症状(腹痛腹胀、腹泻、呕吐等)24例,大汗淋漓5例,呼吸困难4例,剧烈咳嗽1例,头晕头痛2例,烦躁不安6例,手臂痛3例,低血压2例,心律失常1例。急性心肌梗死部位以后壁及下壁为主。结论通过对临床表现不典型的急性心肌梗死特点的分析,需重视非胸痛急性心肌梗死的误诊或漏诊,降低病死率。
Objective To summarize the clinical features of non-chest pain acute myocardial infarction. Methods 48 cases of non-chest pain in patients with acute myocardial infarction in January 2008 January 2010 onset of the first symptoms, risk factors were analyzed. Results Age> 65 years old in 30 cases, <40 years in 3 cases, 41 to 64 years in 15 cases. The first symptom was gastrointestinal symptoms (abdominal pain, bloating, diarrhea, vomiting, etc.) 24 cases, sweating 5 cases, 4 cases of dyspnea, severe cough in 1 case, dizziness and headache in 2 cases, irritability in 6 cases, arm pain in 3 cases, low 2 cases of blood pressure, arrhythmia in 1 case. Acute myocardial infarction after the wall and the main wall. Conclusion Through the analysis of the characteristics of atypical clinical manifestations of acute myocardial infarction, attention should be paid to the misdiagnosis or missed diagnosis of non-chest pain acute myocardial infarction to reduce the mortality rate.