论文部分内容阅读
急性心肌梗塞(AMI)依据心电图(ECG)有无Q波,可分为Q波心肌梗塞(QWMI)和无Q波心肌梗塞(NQWMI)。NQWMI是指ECG上无病理性Q波出现,而持续表现为ST-T改变和血清心肌酶浓度增高及缺血性胸病至少30min以上的AMI。鉴于ECG上缺乏特征性的Q波变化,易造成AMI的漏诊。本文对我院收治的NQWMI患者25例进行分析,井与同期QWMI患者进行比较,旨在探索NQWMI的临床特征及近期预后。 1 材料与方法 1.1 一般资料 1984年1月～1990年11月收住院治疗的AMI患者217例,其中NQWMI25例(11.1％),男16例,女9例;年龄39～85岁(平均62.53岁)。
Acute myocardial infarction (AMI) can be divided into Q-wave myocardial infarction (QWMI) and Q-wave-free myocardial infarction (NQWMI) based on the presence or absence of Q waves on the ECG. NQWMI refers to the absence of pathological Q waves on the ECG, which consistently manifests as AMI with changes in ST-T and elevated serum myocardial enzymes and ischemic chest disease for at least 30 minutes. In view of the lack of characteristic ECG Q wave changes, easy to cause missed diagnosis of AMI. In this paper, 25 patients with NQWMI admitted to our hospital were analyzed and compared with QWMI patients in the same period to explore the clinical features and prognosis of NQWMI. 1 Materials and Methods 1.1 General Information 217 cases of AMI admitted to hospital from January 1984 to November 1990, of which 25 cases of NQWMI (11.1%), 16 males and 9 females; aged 39 to 85 years (mean 62.53 years ).