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目的探讨不典型心肌梗死临床诊治方法。方法回顾分析我院2005年12月至2008年12月收治的80例患者的临床资料。结果确诊后给予卧床休息、吸氧、心电监护、扩张冠状动脉、营养心肌、抗血小板聚集、抗凝、溶栓等综合治疗。其中临床治愈68例,死亡12例。结论不典型心肌梗死治愈率差的原因:患者就医晚,确诊晚,错过溶栓治疗的最佳阶段,延误了治疗时机;患者年龄大、隐匿性强,临床症状多样化及体征不典型;临床医师对不典型心肌梗死认识不足。总之,只要能够充分认识此病的临床特征,就能够提高不典型心肌梗诊断率。
Objective To investigate the clinical diagnosis and treatment of atypical myocardial infarction. Methods The clinical data of 80 patients admitted from December 2005 to December 2008 in our hospital were retrospectively analyzed. Results confirmed diagnosis of bed rest, oxygen, ECG monitoring, dilation of coronary artery, myocardial nutrition, anti-platelet aggregation, anticoagulation, thrombolysis and other comprehensive treatment. Among them, 68 cases were clinically cured and 12 died. Conclusions The reasons for the poor cure rate of atypical myocardial infarction are: late treatment, late diagnosis, missing the best stage of thrombolytic therapy, delayed the timing of treatment; patients with large age, strong occult, clinical symptoms and signs of atypical; clinical Physicians lack of knowledge about atypical myocardial infarction. In short, as long as we can fully understand the clinical features of the disease, we can improve the diagnosis of atypical myocardial infarction rate.