论文部分内容阅读
急性心肌梗塞有特征性临床表现时易于诊断,但老年患者症状常不典型,故易误诊为其它疾病.本文现列举6例易误诊为其它病的老年急性心肌梗塞者(均大于60岁),并加以分析讨论.以心力表竭表现为主者,心肌梗塞多发生于左心室,其中广泛前壁梗塞最常见.例1 男,74岁,住院号220922.以突然胸闷4天,于1974年12月26日入院.外院诊断支气管炎、肺心病.4天前患者突然开始胸闷、无力、咳嗽、心前区隐约不适、不放射.既往无高血压病
Acute myocardial infarction has the characteristics of clinical manifestations easy to diagnose, but the symptoms of elderly patients is often not typical, so it is easily misdiagnosed as other diseases.This article lists 6 cases of misdiagnosed as other diseases in elderly patients with acute myocardial infarction (both greater than 60 years of age) And to analyze and discuss .To the performance of the main manifestations of heart failure, myocardial infarction occurred in the left ventricle, including a wide range of anterior infarction most common .Example 1 male, 74 years old, hospital 220922. Suddenly chest tightness for 4 days in 1974 Admitted to hospital on December 26. Outside the hospital diagnosed bronchitis, pulmonary heart disease .4 days ago, patients suddenly began to chest tightness, weakness, cough, precordial vague discomfort, no radiation. Previously no hypertension