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心肌梗死是在冠状动脉病变的基础上,发生冠状动脉供血急剧减少或中断,使相应的心肌严重而持久地急性缺血导致心肌坏死。典型的急性心肌梗死依据其持久的胸骨后剧烈疼痛、发热、白细胞计数和血清心肌坏死标记物增高以及心电图进行性改变,诊断并不困难。有些不典型心肌梗死以上腹痛、牙痛、肩背痛等发病,易被误诊为急腹症、肩周炎等。我院选取3例患者均符合急性心肌梗死诊断标
Myocardial infarction is a coronary artery lesion, based on the sharp decrease or interruption of coronary blood supply, so that the corresponding myocardial serious and lasting acute ischemia leading to myocardial necrosis. A typical acute myocardial infarction is not difficult to diagnose based on its long lasting post-sternal pain, fever, increased white blood cell count, elevated markers of serum myocardial necrosis, and changes in the electrocardiogram. Some atypical myocardial infarction over abdominal pain, toothache, shoulder pain and other diseases, easily misdiagnosed as acute abdomen, frozen shoulder and so on. Three patients selected in our hospital were in line with the diagnostic criteria for acute myocardial infarction