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目的通过对无痛性急性心肌梗死患者的临床表现及体征的探讨,提高对该病的诊断和认识,以期达到早期诊断、早期治疗的目的,降低患者死亡率。方法回顾分析我科2008年02月至2011年07月诊疗过的32例无痛性急性心肌梗死病例进行分析。结果病情好转22例,死亡7例(21.9%)、心源性休克1例,心律失常1例,心力衰竭1例。结论掌握无痛性心肌梗死临床特点,提高对本病的认识和治疗。
Objective To explore the clinical manifestations and signs of patients with painless acute myocardial infarction and to improve the diagnosis and understanding of the disease so as to achieve the purpose of early diagnosis and early treatment and reduce the mortality rate. Methods Retrospective analysis of 32 cases of painless acute myocardial infarction in our department from February 2008 to July 2011 were analyzed. Results The condition improved in 22 cases, death in 7 cases (21.9%), cardiogenic shock in 1 case, arrhythmia in 1 case and heart failure in 1 case. Conclusion Grasp the clinical features of painless myocardial infarction, improve the understanding of the disease and treatment.